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COPYRIGHT DEPOSIT 



THE SECRETS 



OF 



SPECIALISTS 



A. DALE COVEY, M. D. 



'Prove all things and hold fast that which is good." 



FIRST EDITION. 



PHYSICIANS SUPPLY COMPANY. 

Publishers, 

hi Ledyard Street, 

Detroit, - Michigan. 






THE LIBRARY OF 
CONGRESS, | 


Two Copies 


Received 


MAY 20 


1903 


^ Copyright 
CLASS «^ 


Entry 
XXo. No. 


COPY 


r3 

B. 



Copyrighted, 1903, 

BY 

A. Dale Covey, M. D. 






PREFACE 



In offering this publication to the medical profession 
it has been the authors aim to unfold the somber 
robe which has formerly clothed some of the secrets and 
mysteries connected with the healing art, and present in 
a convenient form for reference information which is not 
generally found in medical text books, relating to the dif- 
ferent methods of treatment which are successfully used 
by medical men who style themselves as specialists. 

It has been said that "one-half the world knows very 
little what the other half is doing." It is also said that 
"there are tricks in all trades." This is particularly so in 
the practice of medicine, for the regular physician is 
seldom familiar with the methods which are used and 
have made fame and fortune for many of the so-called 
irregular and other specialists. 

The object of this book is not only to expose the 
secret methods used by these medical men and pro- 
fessional promoters who are fleecing the profession by the 
sale of some secret system with an extra charge for 
territorial right, but also to offer many suggestions and 
methods of treatment, and legitimate medical specialties 
which have exceptional merit, and are indispensable in 
curing diseases, and establishing and increasing an office 
practice either for a specialist or general practitioner. 



4 TREFACE. 

Although this is not an exhaustive treatise, I believe 
that it fills a vacancy which has long existed, more thor- 
oughly than any other work of its kind ever published, 
and I only hope that the practical application of many of 
the methods given will prove to be as successful in other 
hands as they have in mine. 

The compilation of this volume has necessitated the 
examination of a large amount of medical literature, and a 
considerable outlay of money investigating the different 
secret methods used by specialists. While I have no 
apology to make to the latter, as they were paid in full, 
I feel under special obligations to the writings of Drs. 
Andrews, Agnew, Albright, Moll, Cortland, Usher, 
Shears, Waugh, Scudder, Hammond and others, whose 
efforts have always been to expose the methods used by 
the irregular practitioner. I also feel indebted to the 
Medical World, New Idea, Western Druggist, Medical 
Brief, Alkaloidal Clinic, and other medical journals, whose 
formulae I have used with due credit. 

I would be pleased to affiliate with members of the 
medical profession in weeding out the mysteries which 
lurk around the practice of medicine, with a view of 
throwing more light on the subject in future editions 
of this book. The information here contained has been 
gained and can only be maintained by a hearty co- 
operation on the part of the profession, and I hope the 
same liberal policy will govern our relations in the 
future as it has in the past. 

A. DALE COVEY, M. D. 



THE SPECIALIST. 



THE SPECIALIST. 



A medical specialist has been denned as a physician 
or a surgeon who knows something about every dis- 
ease^ and everything about some disease, but we find 
that this definition is not applicable to all physicians 
who are in special practice, for we find men at 
the highest pinnacle of the profession adding the title of 
specialist to their names, while the caption is also adopted 
by the boldest kind of an advertising quack. 

We therefore find that under the above title we could 
discuss many types of medical men, but inasmuch as 
every general practitioner is familiar with the work of 
the Regular Medical Specialist, we shall first discuss 
this subject from an advertising and non-ethical stand- 
point. What is to be said regarding advertising, is to 
explain the method rather than to encourage the prac- 
tice. 

These specialists might be classed as the itinerant ad- 
vertising specialist; the local advertising specialist; the 
special disease advertising specialist; the mail order 
specialist; the ethical specialist; the office specialist; the 
observing specialist, etc. 

All of these except the ethical and the office specialist 
are considered irregular practitioners, whose methods 
we wish to briefly outline. Those who think all ad- 
vertising physicians are destitute of a sound knowledge 
of medicine are entertaining an erroneous idea, which 
should be released as soon as possible. While I must 
admit that there are a great many advertising physicians 
who are nothing more than medical ignoramuses, and 



6 THK SPECIALIST. 

are justly entitled to the name "quack," which best 
identifies them, on the other hand we find among them 
some of the best therapeutists we have ever had the 
pleasure of meeting. These physicians are advertising 
purely from choice, as they are better remunerated for 
their services and their labors are not so hard. 

Many advanced methods of treatment have origin- 
ated with the irregular practitioner. Many condemnable, 
demoralizing influences have also come from the same 
source. In all other lines of business, if a man makes a 
discovery he can have it patented and his rights pro- 
tected, but if a physician holds his special method of 
treatment a secret, or sells the right to use it, he is at 
once denounced by the regular physicians. 

The estates of Drs. Keeley and Brinkerhoff, and the 
promoters of the various injection treatments for hernia 
and other methods, would not have been so large if they 
had made their treatments publicly known. Fortunate- 
ly "the tricks of medicine will out," and I doubt if there 
is a secret in the practice of medicine today which cannot 
be exposed or duplicated with equal therapeutical re- 
sults. I shall endeavor to throw some light on the sub- 
ject in the following pages, but I shall scarcely be able 
to begin to tell what might be said. 

There have been many discussions at medical so- 
cieties as to the best methods of eliminating the quack, 
but to my knowledge there has never been any definite 
decision. My answer to this perplexing question would 
be, to adopt his methods, whenever they are worthy of 
recognition. 

Advertising physicians are, generally speaking, good 
financiers and business men. They advertise as special- 
ists for revenue instead of for the honor of practicing 
medicine. Oftentimes they depend upon their business 
ability more than on their knowledge of medicine to 
make a success. At least, I have seen many cases in 
which their skill was not apparent, even if they pos- 
sessed any. 

Of the advertising specialists I have met, 1 would 
say that fifty per cent, of them have a medical educa- 



THK SPECIALIST. 7 

tion equal to that of the average general practitioner. 
Twenty per cent, have a superior knowledge of certain 
diseases; the remaining thirty per cent, are far below 
the average, and why they should class themselves as 
specialists is beyond my comprehension. 

The inducements from a financial standpoint are cer- 
tainly such as to encourage one to enter the advertising 
arena, for advertising specialists often receive more 
money for one day's labor than many physicians do in 
a year. You may think this is an overdrawn statement, 
but it is a fact. 

I believe that there comes a time in life when a large 
percentage of physicians feel that they would like to 
enter the advertising field, but, owing either to a lack 
of confidence in themselves, or to the fear of being called 
a quack by their brother practitioners they confine them- 
selves to the code of ethics, and it is well that these 
objections are considered, for advertising practices are 
not all sunshine, and they have been the means of ruin- 
ing both the reputation and financial standing of many a 
physician. 

Many of the most successful advertisers will tell you 
that if they had their lives to live over again they would 
prefer the general practice of medicine, wherein they 
could enjoy the esteem, confidence and respect of their 
patients and the many social functions of which the 
advertiser knows very little. I do not mean to say that 
advertising physicians have no grateful patients, but 
there is not the same friendly and respectful feeling 
towards them that there is between the general practi- 
tioner and his patients. 



THE ITINERANT SPECIALIST. 



These specialists travel from town to town and gen- 
erally plan their circuit so as to make each point either 
once a month or once in two months. They advertise 



8 THE SPECIALIST. 

either to treat all chronic diseases or else they limit 
their practice to one or more diseases, such as piles, 
rupture, etc. 

Most of the chronic disease specialists who travel 
have a deficient knowledge of medicine, and could not 
make a living if they had a permanent residence. It 
is rather discouraging for the local physician, who labors 
night and day for the good of his patients, and does 
more work for sweet charity's sake than any one else 
in the community, to read the advertisements of one of 
these specialists and witness the financial success of his 
visit, for, no doubt, he has received more cash in his 
pocket for his day's work than the local practitioner 
could book in a month. 

There seems to be no way to suppress the practice 
of the itinerants, unless it is done by legislation. The 
laws of many states are so rigid that it prevents their 
operations to a certain extent. 

The itinerant specialist treats his patients by the 
month; his charges range from five dollars to as much 
as he can get for each month's treatment, which, of 
course, includes all medicine. He always tries to bind 
them by a contract to take several months' treatment 
for a certain consideration ; for this he takes their notes, 
which are indorsed by responsible parties. These notes 
are made payable each month as he visits the city. If 
possible, he will dispose of the notes at the bank and 
leave the city with cash on hand. 



THE LOCAL ADVERTISING SPECIALIST. 



This man advertises either under his own name or 
under the name of a Medical Institute, or both. His 
business methods are conducted very much like those of 
the itinerant. Many of these specialists advertise to treat 
all diseases in general; others confine their advertising 



THE SPECIALIST. 9 

to eye and ear, throat/ nose and lungs, catarrh and 
catarrhal deafness, hemorrhoids, hernia, etc., but the 
advertisement most frequently seen in the daily papers 
is one concerning the diseases of the sexual system. 

I once asked a physician, who had had a large experi- 
ence in advertising and treating all general diseases, why 
he finally confined his advertising to treatment of dis- 
eases of the sexual organs. He replied that in his experi- 
ence he has found that people would pay more money 
for the treatment of diseases in that part of their anatomy 
than in any other. He also stated that if he had a patient 
who was suffering with both consumption and impotency 
he would be requested to cure him of impotency first. 

There is a world of truth in what he said, for people 
will neglect every other disease longer than they will 
any disorder of the sexual system. Another reason which 
makes sexual diseases a profitable specialty is, that most 
people do not care to consult their family physician in 
such matters, and, seeing the advertisement of a special- 
ist, will drift into his hands. 

Many of these specialists endeavor to advertise in a 
modest way, but the majority are bold and offensive, for 
the louder they shout the more victims they will secure. 
Their advertisements are often decidedly misleading, 
with bold headlines of "Free until Cured," "One Month 
Treatment free," etc. Such advertisements are, of course, 
only to get the patient to call at the office and the pro- 
cess of landing them is an easy one, for instead of giving 
them one month treatment free, they tell the patient 
that they only offer their services free, but they will ex* 
pect the patient to pay for the medicine for which they 
will only charge from five to fifty dollars a month. Their 
medicines are, of course, very expensive (?). They also 
issue circulars depicting the despairing future of the 
masturbator. These are illustrated with pictures of a 
brainless child born of a masturbator, or a half-naked 
man behind the bars, made insane by self-abuse. 

No words can tell the demoralizing influence that 
such publications have on the half-educated youth who 
gets hold of them. They are led to believe if they 



10 THE SPECIALIST. 

have one or two emissions a month they are afflicted 
with some incurable disease. It is this state of mind 
that is desired by the advertisers, for the more morbid- 
ness and despair, the more money in their pockets. This 
systematized method of attempting to create disease and 
to fatten on the distress of their victims is the foulest 
possible prostitution of medicine. 

This class of physicians also treat syphilis, gonor- 
rhoea, and other venereal diseases. When business gets 
a little dull they buy a list of letters from some mail 
order man who is in the same business, and get a new 
list of patients. They often exchange names in order 
that each may work the discarded or discontented pati- 
ents of the other and thus keep the machinery running. 
Some of the methods of treatment used by these spe- 
cialists will be discussed in the chapter On genito-urinary 
diseases. 



THE SPECIAL DISEASE SPECIALIST. 



We find that these men are of a more refined nature, 
and generally very skillful in the special branch of medi- 
cine or surgery which they are practicing. They are 
entitled in every sense of the word to be called specialists. 
They are conscientious and are interested in the welfare 
of their patients; they believe that their methods of 
treatment are the best and they demonstrate in many 
cases that they are. Under this class we find rectal, 
hernia, diseases of the stomach, cancer and other special- 
ists, many of whom would be shining lights in the med- 
ical fraternity if it were not for their advertising, which 
is devoid, however, of objectionable matter. Whether 
or not advertising by such men should be allowed by the 
medical profession, I am not in a position to say, but it 
seems to me that if a man devotes his time in perfecting a 
treatment for some special disease, which his brother 



THE SPECIALIST. 11 

practitioner has failed to cure or recognizes as incurable, 
he should for the sake of humanity let the world know 
it, and the easiest way is through printer's ink, unless 
he teaches his method to the profession, the members of 
which often do not care to spend the time to learn. 

This has been illustrated hundreds of times by rectal, 
hernia, and cancer specialists. I have seen many patients 
with cancer and hernia cured by these specialists, who 
were offered little or no encouragement from their family 
physician. 

In the following pages we shall give several methods 
which are worthy of adopting in your practice, and by 
making use of them you will receive large financial re- 
turns. 



THE MAIL-ORDER SPECIALIST. 



Most physicians have very little conception of the 
amount of business done by the mail-order specialist. 
Up to a few years ago, if any one had told you that he 
could establish a large medical practice through the mail, 
you would have thought that he was a fit subject for the 
lunatic asylum; but at the present time there are hund- 
reds of thousands of dollars spent every year in adver- 
tising, and many more thousands of dollars received by 
the advertisers. 

There are about one hundred and seventy periodicals 
published for the sole convenience of the advertisers. 
These are called Mail Order Journals or Magazines. The 
rates for advertising in these publications range all the 
way from ten cents to six dollars a line. A four-line 
advertisement inserted once in the entire list, would cost 
$529.20. 

This will give you an idea of the enormous amount of 
money that can be spent in advertising. A four-line ad- 
vertisement is the smallest space some papers will allow 
you to take. 



12 THE SPECIALIST. 

A Mail Order Medical Specialist who uses only from 
two to four inches of space each month is considered 
rather a small advertiser, although he is paying $2,272.20 
each month for his advertising, if he uses the entire list. 
There are many specialists who appropriate $100,000.00 
each year for their advertising. 

By advertising in the so-called Mail Order Journals, 
you reach patients in the most remote parts of the coun- 
try. You will have no idea from what country you may 
receive a reply from your advertisement. You may re- 
ceive letters from Australia, Japan or Iceland, or from 
a mining or logging camp, which is many miles from the 
nearest railroad. On the other hand, you may receive a 
reply from your own or from a distant city. Of all the 
medical advertising businesses, the mail order business 
is the most fascinating, for when one once gets into it, 
it is hard for him to get out. 

The specialists who are following the mail order in- 
dustry generally confine their practice to one disease or 
to one remedy and advertise a specific treatment for 
Kidney complaint, Rheumatism, Catarrh, Obesity, Deaf- 
ness, Diseases of the Eye, Impotency, Female Com- 
plaints, Consumption, Asthma, Epilepsy, etc. 

The remedies for the cure of these diseases are gen- 
erally first furnished to the patient in the way of free 
samples. If the remedy has any merit, the patient is 
quite sure to order a supply. In this way he is induced 
to continue the treatment for several months. 

There are two important things to be considered in 
remedies to be sent through the mail. They should 
possess a certain degree of merit, and should contain few 
or no poisonous ingredients; but this rule is not always 
adhered to, as will be seen by the formulas which are 
to follow. 

The physician who treats all chronic diseases, sup- 
plies his patients with question blanks which the patient 
can fill out and send to the doctor, together with a 
description of his case in his own language. The physi- 
cian may then prepare any treatment he deems the case 
requires. The fees for such treatments are from one to 



THE SPECIALIST. 13 

ten or more dollars a month. Mail order specialists 
generally treat their patients by the month, as do other 
advertising specialists. 

Mail order patients should be treated with the same 
integrity and respect as local patients, and, under all cir- 
cumstances the specialist should endeavor to hold the 
esteem and good-will of his patients. If a patient should 
write a tart, pointed, or impudent letter, it should never 
be answered by one of the same character, although the 
specialist may feel justified in doing so. No good can be 
accomplished from such correspondence, and much harm 
is often done. If one can succeed in holding the con- 
fidence of his patient and the treatment benefits him, he 
is sure to send other patients, but if the treatment is abso- 
lutely worthless, he will not hesitate to denounce it as a 
fraud. This is oftentimes done very unjustly, for no 
physician can expect as great a number of cures in a 
mail order practice as he can in patients who are con- 
stantly under his observation. 

Although there are several preparations given 
throughout this book which have or can be used in mail 
order practice, I will add several more which have come 
to my notice and which can be used successfully by the 
general practitioner. 

ASTHMA. 

Remedies for this distressing disease have always 
found a steady and increasing sale. I know of one 
gentleman who has made a large fortune through the 
sale of the following Asthma cure, which is compounded 
after the formula of Dr. Covert. The formula is a good 
one and has been published in several Medical Journals : 

~fy Iodide of ammonium 2 dr. 

Fl. ext. grindelia robusta 4 dr. 

Fl. ext. glycyrrhiza 4 dr. 

Tinct. lobelia 2 dr. 

Tinct. belladonna 2 dr. 

Syr. Tolu q. s. ad. 4 oz. 

Dose — Teaspoonful three times a day; extra doses 
during a paroxysm. 



14 THE SPECIALIST. 

CONSUMPTION CURE. 

The Slocum system of treatment for consumption has 
established quite a reputation, and the company is among 
the largest of mail-order advertisers. I sent for a sample 
of their preparations, which consist of a bottle ot 
Psychine, Ozomulsion, Coltsfoot Expectorant and Ozo- 
jell. 

The Ozomulsion is about a twenty per cent, cod liver 
oil emulsion with the addition of guaiacol. Psychine, the 
"greatest of all tonics," is a decoction of nux vomica and 
cinnamon, which is to be taken in a wine-glass full of 
whiskey before each meal to build up the appetite. The 
Coltsfoot Expectorant is a preparation very much re- 
sembling Ayer's Cherry Pectoral, given on another page. 
This treatment will cost from five dollars to ten dollars 
a month. 

RHEUMATISM CURE. 

These are also freely advertised and the patient lib- 
erally sampled. A gentlemen who had the management 
of a large mail-order Rheumatism Cure Co., said, that 
they only used one drug and that was prepared as fol- 
lows in large quantities: 

If Ammonium chloride 160 gr. 

Aromatic elix q. s. ad. I oz. 

Mix. — A teaspoonful from three to six times a day. 

Each teaspoonful of the above mixture represents 
twenty grains of ammonium chloride, and it is often sur- 
prising to note the influence which this drug has in con- 
trolling muscular rheumatism. The cheapness of the 
drug makes it a very profitable remedy to handle, and 
it is a preparation that will establish a reputation upon 
its own merits, as the thousands of testimonials which 
this company possesses will attest. 



THE SPECIALIST, 15 

EPILEPSY. 

"I cure fits" is a headline seen in all mail-order pub- 
lications, and several men have accumulated large es- 
tates by selling remedies for fits. A very convenient and 
profitable remedy for epilepsy and the neuroses is 
hydrocyanate of iron. Although this remedy has been 
used by a few physicians for several years, it has never 
gained the confidence of the profession which it fully 
deserves. It will seldom disappoint reasonable expecta- 
tions and has the advantage for mail-order purposes that 
it can be dispensed in pill form, each pill composed of the 
following : 

3J Hydrocyanate of iron . . I gr. 

Extract hyoscyamus . . . y 2 gr. 

Powdered valerian (English) 2 gr. 

Sig. A pill morning and night, gradually increasing. 

HEART DISEASE. 

The frequency of" diseases of the heart has created a 
demand for a "heart cure." The accompanying formula 
is used by one firm and I am told that they have the 
tablets manufactured in car-load lots. The formula is an 
old one and extensively used by the medical profession. 
Each tablet represents : 

1$ Glonoin 1-100 gr. 

Tinct. strophanthus 2 min. 

Tinct. digitalis 2 min. 

Tinct. belladonna y 2 min. 

STOMACH DISEASES. 

A physician who has a large local and mail order prac- 
tice and advertises as a stomach specialist, claims he 
can cure ninety per cent, of all cases of dyspepsia by 
confining his patient to a raw or very slightly cooked beef 



16 THK SPECIALIST. 

diet. In connection with this diet, his favorite stomach 
or digestive tablet is as follows: 

I£ Pepsin i gr. 

Sulphite of soda 2 gr. 

Resorcin 2 gr. 

Charcoal 2 gr. 

Capsicum % gr. 

Nux vomica Ye gr. 

This treatment is certainly a very successful one and 
the raw meat diet should never be overlooked in treat- 
ing stomach diseases, as it has a very soothing influence 
on the stomach when it is in an irritable or a diseased 
state. 

ENURESIS. 

A western physician has extensively advertised a cure 
for "bed wetting," which is put up in tablet form accord- 
ing to this formula: 

If Atropine 1-120 gr. 

Santonin }4 g" r - 

Rus aromatica 5 gr. 

The directions which accompany the treatment in- 
struct children to retain their urine as long as possible 
during the day and not to drink any liquid for two hours 
before going to bed. 

CANDY CARTHARTIC. 

The following formula makes a preparation very 
much like Cascarets, which has had a remarkable sale : 

If Powd. ext. senna 1 oz. 

Powd. ext. cascara sagrada 1 oz. 

Powd. ext. licorice 2 oz. 

Powd. sugar 2 oz. 

Oil anise 2 dr. 

Oil wintergreen 2 dr.* 

Aqua q. s. 

Mix the first six remedies and add sufficient water to 
make a paste, then divide into tablets of thirty grains 
each. 



THE SPECIALIST. 17 

DISEASES OF THE EYE. 

The oculist has been somewhat handicapped in treat- 
ing mail-order patients until Cineraria Maritima was in- 
troduced as a solvent for cataract. This remedy has 
proven to be a panacea for them in treating blindness and 
all other diseases of the eye, which, together with the 
fitting of glasses, makes a very profitable industry. 

OBESITY. 

Pills for reducing weight have found a great demand. 
These pills are made from the active principles of the 
Phytolacca berry and bladder wrack, and put on the 
market under different names. 



THE OBSERVING SPECIALIST. 



DIAGNOSING DISEASES WITHOUT ASKING 
ANY QUESTIONS. 

This is a new feature which is being introduced by 
many advertising specialists and, although this method 
cannot be applied to all cases, it is surprising to note how 
often they will hit the nail on the head. 

I had occasion recently to visit one of those physi- 
cians for the purpose of learning his secret if possible, 
and was somewhat surprised at the accuracy in which 
he would often describe symptoms, and the weight it 
had in gaining the confidence of the patients, which is 
a very important feature from a financial standpoint. 
People generally think that if a physician can tell their 
ailments without asking any questions he must be a 
healer of wonderful skill and ability. 

This physician had charge of one of the largest med- 
ical and surgical institutes in our country, which afforded 
him an opportunity to examine from twenty to seventy- 

[2] 



18 THE SPECIALIST. 

five patients a day, and after watching him take cases, I 
am thoroughly convinced that the face will map out 
many diseases and the physician, who is the least ob- 
serving and familiar with the symptoms of disease, can 
tell many of them by studying the physiognomy of his 
patients. 

The expression and the color of the face, tempera- 
ment, the carriage of the body, conversation, breathing, 
eye, the pulse, tongue, and, last, but not least, the oc- 
cupation, are the principal things upon which these 
"physiognomy diagnostitions" locate disease. 

There are only three questions which are asked the 
patient, namely: To see the tongue, his age, and his oc- 
cupation. 

During my stay with this physician 1 watched him 
take many interesting cases, and I think it will be of 
sufficient interest to outline the ones which are quite 
familiar to every physician. 

The first patient was a gentleman, forty-six years old, 
who entered the consulting room rather slowly and took 
a seat. There was an expression of melancholy on his 
face ; he locked sad and friendless ; the skin and com- 
plexion was slightly yellow, but not decidedly noticeable ; 
the doctor looked at his tongue, which had a brown coat, 
and told him he had disease of the liver; a feeling of 
fullness in the right side, laying his hand on the right 
hypochondriac region; he also told him that he had a 
pain under the right shoulder blade; at times would feel 
drowsy; had no ambition; the urine at times was scanty 
and high-colored ; was troubled with indigestion. He 
also mentioned other symptoms which are generally as- 
sociated with diseases of the liver. In this case you will 
see that his diagnosis was founded upon the color of the 
skin, the general torpidness of the body and the coating 
of the tongue. 

The next case was still less difficult. A young lady 
eighteen years old, whose face at once would explain her 
symptoms, for she had a pronounced case of anaemia. 
The doctor immediately told her that her disease was due 
to lack of red blood corpuscles in the blood; that her 



THK SPECIALIST. 19 

menstrual periods were scanty and irregular; that her 
heart would palpitate on the least exertion ; that she 
would get dizzy when rising from a recumbent posi- 
tion, etc. 

The next patient was a lady thirty-seven years old, 
mother of four children; was nearly as pale and anaemic 
as the former patient. The doctor examined her care- 
fully and told her that she was suffering with female 
trouble; that her menses were too profuse and appeared 
oftener than they should ; that this excessive loss of blood 
would not allow her body the proper nourishment, and at 
times she was extremely nervous and irritable; and also 
that her digestive organs were feeble, due to lack of 
nourishment from the excessive loss of blood, and that 
like the former anaemic patient, she had palpitation of 
the heart, faintness, etc., all of which she admitted to 
be true. 

After this patient was dismissed, I asked the doctor 
why he should diagnose her disease as originating in the 
female organs. He discussed the temperament of the 
patient; the tissues of the body were sleazy in texture 
and would readily yield to the congestion in the parts 
during the menstruation, and owing to this excessive loss 
of blood would naturally bring other organs into sym- 
pathetic suffering. 

The next patient was a man, fifty-one years old, who 
apparently seemed to be enjoying the best of health, but, 
after examining the tongue, he was immediately told that 
he had dyspepsia. The tongue had a heavy white coat, 
which indicated that an excessive amount of acid was 
being secreted by the stomach and that he would have 
sour eructions, heart-burn, occasionally, pain in the pit 
of the stomach and soreness on pressure, etc. 

In this case it was plain to see that the tongue told 
the story. 

The next case was a man sixty-one years old, with 
rather a plethoric temperament. After the doctor felt of 
hrs pulse, he at once advised him that he had a valvular 
disease of the heart. He called my attention to the re- 
ceding pulse which was particularly characteristic with 



20 THE SPECIALIST. 

its forcible impulse, which rapidly declined ; the so-called 
"water-hammer" pulse. The blood vessels throughout 
the body would pulsate so that they were visible to the 
eye. The use of the stethoscope showed plainly that 
the patient was suffering with aortic regurgitation. 

The above only illustrate a small number of cases met 
with and, although he made many failures, he was rea- 
sonably successful in the majority of cases. I have seen 
him locate diseased organs by finding a sore spot on the 
spinal column, and relieve pain by making pressure on 
this spot and desensitizing the nerve supply, which is 
the method used by the osteopaths. He would locate 
rectal diseases by the position which the patient sits in 
the chair. Kidney troubles can also be located by the 
condition of the eye, and the desire of the patient to press 
the small of his back upon some hard substance. The 
color of the skin will point out diseases of the blood and 
liver; the character of a cough will locate diseases of the 
throat, bronchial tubes or lungs by its volume. 

Acna rosacea is not always due to the use of alcohol, 
but is frequently associated with diseases of the stomach 
and bowels. Falling out of hair is also connected with 
diseases of the kidneys. Masturbators and those who 
indulge in sexual excesses can often be identified by the 
sheepish expression of their faces. Notched teeth are 
often a symptom of hereditary syphilis, etc. 

The late Dr. J. K. Scudder, of Cincinnati, was among 
the first to call attention to the different coatings of the 
tongue and their relation to diseases of the stomach, 
bowels and blood. The doctor says, "If the tongue is 
heavily coated at its base with a yellowish white fur, 
we know that there are morbid accumulations in the 
stomach. If the tongue is uniformly coated from base 
to tip with a yellowish fur, rather full, and moist, we 
have the history of atony of the small intestines. If the 
tongue is elongated and pointed, red at tip and edges, 
papillae elongated and red, we have evidence of irrita- 
tions of the stomach with deterioration of the blood. 

"Again, we have a tongue that might be designated 
as 'slick.' It is variously colored, but it looks as if a 



THE SPECIALIST. 21 

fly should light on it he would slip up and break his neck. 
It is evidence of a want of functional power, not only of 
the stomach and the bowels, but of all parts supplied 
by the sympathetic nerves. 

"The tongue tells us of acidity and alkalinity of the 
blood in language so plain that it cannot be mistaken. 
The pallid tongue with white fur is an index of acidity ot 
the stomach and blood, and it is surprising to note how 
rapidly these conditions can be cured by the use of sul- 
phite of soda. A deep red tongue indicates alkalinity and 
is readily cured by the employment of an acid. 

"Impoverishment of the blood (sepsis) is indicated 
by a dirty dark colored fur, and requires a treatment that 
will antagonize this septic process." 

You will notice that this "unruly member" alone tells 
us a good deal and by careful study might tell us more. 
It is with these objective and semi-objective symptoms, 
together with the senses of touch, that these spe- 
cialists become familiar and use as a foundation for their 
diagnosis. Although I have only given you a rough 
sketch of the subject and present this article only as 
good material for thought, hoping that it may prove of 
some assistance to you in locating diseases by observa- 
tion. 



THE ETHICAL SPECIALIST. 



We find that medical men, even of this description, 
often like to see their names in print, which will react 
to a financial advantage on their part, but these men 
differ from the regular advertisers inasmuch as they do 
not pay for their advertising. There is hardly an edition 
of a local paper that does not contain an account of the 
discovery of some physician or the dexterity of some 
surgeon in a certain operation. 

The detailed copy was, no doubt, handed to the editor 
by the physician himself, with a request that it should 



22 THE SPECIALIST. 

be printed. This is, of course, profitable advertising for 
the practitioner, but the editor is led to believe that the 
article was written for the advancement of science. 

This is well illustrated in the world-wide advertising 
which Profs. Koch and Brown-Sequard have received out 
of their consumption lymph and the "elixir of life." Al- 
though they were only scientific bubbles, the advertis- 
ing these gentlemen received has had much to do in 
bringing their names before the public. 

In smaller towns local items of births, fractures, etc., 
are handed to the editor with the name of the doctor 
attached as being the attending physician. This is a 
very judicious way of advertising. 

I remember once meeting a young physician, who 
had just located in a small city, who was called to ad- 
just a fracture. The papers wished to encourage the 
young man and devoted a half column to praising his 
success. He afterwards told me that the editorial was 
instrumental in placing several cases of fracture in his 
hands that year. 

Accoucheurs have also established a large obstetric 
practice by having their names published in connection 
with births. 

The mention of a physician's name in connection with 
any case, medical or surgical, will be of more or ress 
advantage to the physician and is considered legitimate 
advertising. There are two things to be avoided, how- 
ever. Be sure that the case you are treating is out of 
danger, and never allow your business card to appear 
under that of an undertaker. 



THE OFFICE SPECIALIST. 



I fully realize that most physicians do not care to ad- 
vertise, and, as I have stated before, I do not wish to be 
understood as advocating the practice, but, owing to the 
purpose of this book, I thought that it would not be out 



THE SPECIALIST. 23 

of place to briefly outline some of the methods of adver- 
tising, which are in use at the present day. We have 
now come to a point when we can consider one of the 
most greatly neglected features of a general practitioner's 
work — office practice. Inasmuch as a large part of the 
methods of treatment given on the following pages are 
applicable to office practice, I want to suggest, if possible, 
a means whereby they can be used to the best advantage 
from a financial and therapeutical standpoint, and in a 
way which will advertise itself, which is always the 
best, for "By their works, ye shall know them." 

"Many general practitioners who are enjoying an in- 
come of from two to four thousand dollars a year, have 
offices which look more like junk-shops than a physi- 
cian's office. Their entire office equipment would not 
invoice at more than one or two hundred dollars. If 
they enjoy this method of conducting their business, I 
have no objection, but I have often observed that the 
physician who has a well furnished and equipped office 
is the one who gets the cream of the office practice, 
which he justly deserves. He is also more successful in 
the treatment of diseases, for he has every modern ap- 
pliance at his hand for the benefit of his patients. 

If a physician were to enter any commercial business 
one thousand dollars would be considered very small 
capital to commence with, and yet, by appropriating this 
amount for the purpose of an equipment which will assist 
him in his life work, he can have nearly every modern 
appliance and be better able to meet the demands of the 
public, then the physician who confines his stock in trade 
within the walls of his cranium. 

I have seen this plan of properly equipping offices 
carried out on four different occasions. It was done 
largely to ascertain, if possible, whether or not the plan 
would be sufficiently remunerative to justify the physi- 
cian in making the extra expenditure, and it was a de- 
cided success in every instance. Three of the offices 
were conducted in the physician's own name, the other 
was called the Red Cross Sanitarium. All of the physi- 
cians had been residents of the cities for some time 



24 



THE SPECIALIST. 



previous and were enjoying a large practice, but they 
wished to retire from general practice and devote their 
time to office specialties. 

It requires considerable room to operate offices of this 
kind and a good, modern, centrally located residence or 
flat over some store will be best suited for the purpose. 
The smallest of these offices contained a reception room, 
consultation room, operating room, electrical room and 
bath room. General office furniture, such as carpets, 
chairs, desks, etc., will cost about one hundred and fifty 




The above cut illustrates The Physicians' Supply Co's Improved Opera- 
ting Table. 

This table is made of oak, highly polished, and fills all the requirements of a 
physician's operating table or chair. Both ends can be raised or lowered inde- 
pendently, at any desired angle. It is provided with an extension, sliding out 
from either side, convenient for holding the arm or instruments during an opera- 
tion. It has two stirrups, which can be adjusted to any length and concealed 
when not in use. 

As an economical (Price $10.00) and desirable piece of office furniture it is 
doubtful if the table can be excelled. 



dollars. The furniture and appliances for the operating 
room, including a surgical chair or table, nebulizer and 
compressed air apparatus, instrument case, etc., will cost 
about one hundred and fifty dollars. The electrical treat- 
ment room should have a static machine, an X-ray out- 
fit and a galvanic and faradic battery. These will cost 
in the neighborhood of two hundred and fifty or three 



THE SPECIALIST. 25 

hundred dollars. This is for^the best machines and you 
should avoid securing cheaper ones. You can allow two 
hundred dollars for equipping the bath room, which will 
include all the modern bath apparatus. The balance of the 
thousand dollars can be used in the purchase of instru- 
ments, drugs, etc. This will give you a decidedly modern 
and up-to-date office, and I dare say that there is not 
another office anywhere near you which is prepared to 
offer the treatment for diseases that you can supply. 
The bathroom should be arranged into different apart- 
ments and should have a lady and gentleman attendant. 
They need not be in constant attendance, for baths are 
generally given by appointment. The price of a vapor, 
medicated or alcohol bath is generally one dollar, and of 
this the attendant gets from twenty-five to fifty cents. 
The attendant should have some knowledge of massage 
treatment, Swedish movements, etc., which can be easily 
obtained by securing some works on the subject. One 
might think that there is no profit in baths, but I wish 
to say that it is all profit, as one of these offices referred 
to netted over nineteen hundred dollars the first year 
from the baths alone, for there was no other place in the 
city where the same baths could be obtained. 

I know of no other field which will yield as large and 
as rich a harvest for the physician as a well equipped 
office like the one just outlined, which in reality is a 
small sanitarium, and offers all treatments given at these 
health resorts. It is sure to be a success, but in select- 
ing a location a city of rive thousand people or more 
should be chosen. 



" Go to the pillow of disease 

When night brings no repose, 

And on the cheek where sickness preys 

Bid health to plant a rose." 



26 AIvCOHOI, AND DRUG HABIT. 



THE ALCOHOL AND DRUG 
HABIT SPECIALIST. 



What are the factors which predispose certain indi- 
viduals to the excessive use of liquor, while others do not 
care to use it at all? This is a question that has never 
been satisfactorily answered. I believe that certain in- 
dividuals are born drunkards, just as I believe that 
others are born thieves, and there are children born every- 
day cursed in their mother's womb by the dissipation of 
one or both parents. Bad company and poor literature 
contribute, perhaps, more towards the development of the 
drink habit than any other cause. A man with a timid 
disposition often thinks he is better able to combat with 
the world if he imbibes freely of the amber-colored 
liquid, while a man with an unevenly balanced mind be- 
lieves he can be made more worldly if he flushes his 
stomach with the fiery fluid. A poor man feels rich if he 
is in a state of semi-intoxication, and especially so if he 
is in a glittering bar-room with company in a similar 
state. Finally, the intoxication increases, stupor comes 
on, and after this has worn off in the morning comes 
thirst, misery, headache, tremor and nervous irritability. 
Again he seeks relief by the usual "eye opener," and 
again he keeps his jaded nervous system stimulated dur- 
ing the day until outraged nature rebels, and his 
stomach will no longer retain the poison, and the dis- 
ordered brain and nervous system are on the border of 



ALCOHOL AND DRUG HABIT. 27 

collapse unless rest or medical aid will restore him to the 
normal, and compel him to leave alcoholic liquors alone 
for a few weeks or months. This is the history of the 
average periodical drinker. 

There is another class of men whom we generally 
find in active business who do not intoxicate themselves 
to the extent just described, but who consume a large 
amount of liquor every day and keep it up for years, 
without much apparent injury, but by carefully watch- 
ing these subjects, we find that they finally die from 
some disease for which alcohol is responsible. Possibly 
the heart may become exhausted or the liver or the kid- 
neys give out, or the weakened blood vessels at some 
point of the brain will yield and apoplexy result. 

There is another class of men who may properly be 
called degenerates. These individuals are certainly 
physically^ and mentally weak, and, if allowed, will con- 
sume as much liquor as they can get their hands on. 
They wish to keep in a state of intoxication all the time, 
until they are finally taken to the prison or madhouse or 
wear out the lives of their most devoted friends. 

From so high authority as Sir William Roberts we 
find in his excellent little work on "Diet and Digestion, " 
that tea, coffee, tobacco and alcohol have been bene- 
ficial in strengthening both *>e muscles and the brains 
of Americans. He argues that this is one of the reasons 
why we have outstripped our eastern brethren in civiliza- 
tion and intellectual attainments. If such be the case, we 
have bought our civilization and our intelligence at an 
enormous expense. 

There has been much discussion in medical literature 
as to whether the excessive use of alcohol is a disease or 
a habit. I am inclined to think that it is both, and that 
it may be either hereditary or acquired. If a man goes 
on an occasional spree and has no particular taste or 
craving for liquors, we may say that he has a habit. If 
he has an uncontrollable appetite for alcohol and feels 
that he cannot exist without the stimulant, we must 
admit that it is a disease, for there are certain path- 
ological changes which take place in his nervous system. 



28 ALCOHOL AND DRUG HABIT. 

Whether or not alcohol may be used without being 
abused is too broad a question to be discussed here, but 
we all know that it is a dangerous companion with which 
to associate, and we may live longer and better lives if 
we disinherit this king of many crimes. 



HOW TO ADMIT PATIENTS FOR TREATMENT. 



When a, person applies for treatment for alcoholism 
he is generally in a state of intoxication ; he wants sym- 
pathy and a friend. Possibly he has been called a 
drunken cur and a brute, and from time to time has 
drowned his sorrows in the cup, which has made matters 
worse. 

Any man of ordinary intelligence knows right from 
wrong, and by explaining to him the evil effects of his 
habits and how his dissipation has reflected upon himself 
and family; how he and his have been shunned by so- 
ciety; how his noble and faithful wife has patiently 
waited for the time to come when he would abandon the 
evil habit and become the same kind father, brother or 
son that he once was. She has, no doubt, many times 
knelt in prayer, and implored the Divine Giver of Life 
to shield her loved one from this terrible curse. Have 
your patient to understand that he is able to live a dif- 
ferent and a better life and that he has applied to you 
for the purpose of having you cure him of an uncon- 
trollable disease, alcoholism, and when he has completed 
his treatment, he will return to his loved ones a much 
different man. But in order to be successful, he must 
avoid his former associates and places where liquor is 
sold, and in order that the treatment may be properly 
carried out, you must have his fullest co-operation. 



AIXOHOL AND DRUG' HABIT. 29 

THE TREATMENT. 



As stated before, patients will usually apply for treat- 
ment when they are intoxicated, and this is generally the 
best way to receive them, but the physician will often 
find that there are many things which will require his 
immediate attention. The patient's stomach may be so 
weak that it cannot tolerate solid food. In such cases, we 
find milk or invalids' food the best diet. If he is on the 
verge of delirium tremens, he needs nature's sweet re^ 
storative — sleep — which can be obtained by fifteen grains 
each of bromide of potassium and hydrate of chloral re- 
peated as required. 

He may be in a state of mela ncholy and a kind word 
will give him much encouragement. His brain, liver and 
kidneys may be congested, and may require specific 
treatment, so we find that the preliminary treatment 
should consist of proper nutrition, rest, kind suggestions 
and elimination. 

Patients have been educated by the former founders 
of the so-called Gold Cure Institutes to believe that they 
may have all the liquor they require. Thus, we may find 
it necessary to carry out our treatment on the same plan, 
or the patient will think your treatment an inferior one. 
Therefore, after giving the above conditions the atten- 
tion they require, give the patient a four-ounce bottle of 
whiskey and tell him to see how long he can make that 
last. I also instruct him that he is not to enter any place 
where liquor is sold and not to take any intoxicating 
liquors except those which he receives from me. At night 
he should take a hot bath and two drachms of phosphate 
of soda or perhaps a full dose of calomel. This will relieve 
the congestion of the liver and bowels and remove all 
foreign matter. 

In order that the reader may know the value of the 
different methods of treatment, I will give the formulae 
of several which I have used and which may be properly 
called curative agents. You, of course, can judge for 



30 ALCOHOL AND DRUG HABIT. 

yourself as to their adaptability in different cases and 
their relative merits. 

The first treatment I ever used was that known as 
the Dunlap Cure, which is approximately the same 
treatment, somewhat modified, as that used by Dr. Gray, 
the formulae of which were made public through the 
efforts of Dr. Andrews, of Chicago; and it is my belief 
that this treatment is quite as good as any in use at the 
present time. 

I commence giving the patient hypodermically : 

5 Gold and sodium chloride 4 gr. 

Aqua, dis 1 oz. 

M. Sig. Inject five to ten minims at six and eleven- 
thirty a. m., and at six p. m. Each ten minims represents 
one-twentieth grain of the chloride of gold and sodium. 

I also give the following internally: 

IJ Atropine 34 g r - 

Strychnine nitrate I gr. 

Tinct. capsicum 2 dr. 

F. E. erythroxylon coca 1 oz. 

F. E. avena sativa 1 oz. 

Compound F. E. cinchona 3 oz. 

Glycerine 1 oz. 

Aqua dis 1 oz. 

Mix. Sig. A teaspoonful every two hours while 
awake. 

After the patient has taken this treatment for a few 
days, he generally loses his desire for liquor and dis- 
continues its use, but the treatment should be continued 
for a period of three or four weeks. On the other hand, 
we occasionally find a patient who thinks he is overly- 
wise and can "beat the cure." These patients are gen- 
erally of the lower classes and will drink, drink, and 
drink until compelled to stop. They are easily managed, 
however, and it is rather amusing to see how quickly 



ALCOHOL AND DRUG HABIT. 31 

you can relieve their minds of these erroneous ideas. 
After a patient has been taking the treatment a few days 
and you feel that he is fighting the treatment, when the 
time comes for the hypodermic injection, give him an 
extra large drink of whiskey. Have him secure it at the 
drug store, so that he will not think you have doctored 
it, and instead of the regular injection, give him one-tenth 
grain of apomorphine. This, of course, will make him 
sick at his stomach and vomit. In nine cases out of ten 
you cannot get him to touch liquor any more, but once 
in a while a patient will attempt to drink again. I re- 
member once giving a patient seventeen of these injec- 
tions before I could conquer him. 

Apomorphine and the "sickening process" have al- 
ways formed one of the "trade secrets" of the different 
gold-cure institutes, and I believe that apomorphine is 
one of the most valuable drugs we have as an emergency 
treatment in the cure of alcoholism, as it makes you 
master of the situation, and at the same time, impresses 
the patient with the fact that the treatment you are giv- 
ing is a complete antidote to alcohol, and that the two 
can not be taken at the same time. You will also find 
that some patients before quitting the treatment wish to 
see if they can take a drink of liquor, to learn whether or 
not the cure has been complete. In many cases I have 
requested them to drink and then given them an injec- 
tion of apomorphine at the same time. This satisfies 
them, in the extreme. This might be condemned by some 
as an unprincipled and injudicious practice, but, such as 
it is, it is effective and curative and I believe that there 
is a larger percentage of cures in those who have under- 
gone the sickening process at least once while taking 
treatment than in those who have not. 

This is what is known at most gold-cure institutes as 
the "barber pole shot." They have three solutions for in- 
jecting, labeled number one, two and three. Number 
one is white and contains a solution of nitrate of strych- 
nine; number two contains gold and sodium and is col- 
ored red ; number three contains the apomorphine, which 
if mixed with water will turn a bluish green, hence, by 



32 AIXOHOIv AND DRUG HABIT. 

taking medicine from each bottle, we get the red, white 
and blue. 

I can see no especial advantage in treating alcoholism 
by the use of the hypodermic, except that you have 
patients under your immediate control by the use of 
apomorphine, which is much better than an emetic given 
in whiskey, and is not' so easily detected. Although 
many cases do not require an emetic, it would be almost 
impossible to cure some people without its use. 

The combined treatment which I have just outlined 
is the one that I prefer for the general class of patients 
and it will establish as great a number of cures as any 
treatment in present use. It can be used in either private 
a sanitarium practice with equal success. 

The following treatment is what is known as the 



MARVELLA CURE. 



This is very similar to the numerous treatments which 
are extensively advertised to the medical profession 
under different names. The following formula is called : 

MARVELLA ALCOHOLIC SPECIFIC NO. 2. 

Formula A. 

fy Hyoscine 1-20 gr. 

Strychnine nitrate 1 gr. 

Tincture of hydrastis 2^2 oz. 

Tincture of valerian 2^ oz. 

Tincture of capsicum J4 oz. 

Tincture of cinchona comp. . .q. s. ad. 8 oz. 

Mix. Sig. Two teaspoonsful every four to six hours. 

After taking this treatment for a few days, the patient 
will take much less liquor than was his custom and his 
general health will be very much improved, when you 
may commence the hypodermic treatment, which is as 
follows : 



ALCOHOL AND DRUG HABIT. 33 

Formula B. 

^ Hyoscine hydrobromate I gr. 

Sol. boracic acid (2 per cent) 2 oz. 

Mix. Sig. Five to ten minims hypodermicaliy. 
DIRECTIONS FOR USE. 



The patient is instructed to take two drachms of 
formula A for a few days until the desire for liquor is 
somewhat lessened, and then to commence the use of 
formula B. At intervals of three or four hours, after 
the patient has taken this treatment four or five days, ask 
him if he still has a desire for liquor. If he answers 
"yes," continue the treatment longer or else cut it short 
by the apomorphine injections until he does not care for 
it, then continue the use of formula A. I have used 
this treatment in several cases with good results, but 
I can not see that it offers any advantages over the 
former treatment. While hyoscine is a splendid remedy 
for the treatment of the opium habit, I prefer the former 
treatment for the liquor habit. I will give several other 
successful treatments for the alcohol habit later, but first 
will discuss 



TREATMENT FOR OPIUM, COCAINE AND 
CHLORAL HABITS. 



There are several types of habitues who use the above 
named drugs, who will apply to you for treatment. First, 
the young and vigorous patients, who have not taken 
the drug long enough to produce any marked patho- 
logical changes in their anatomy. Second, the one who 

[3] 



34 ALCOHOL AND DRUG HABIT. 

has used the drug for several years without its seem- 
ingly producing any ill effects. Third, the one who uses 
the drugs for the relief of pain of some co-existing dis- 
ease, such as cancer, chronic sores, hepatic and renal 
calculi, etc. Fourth, the old and feeble who have ex- 
isted upon the drugs for years and have brought about 
pathological changes which are beyond repair. 

As the digestive and assimilative organs are prac- 
tically paralyzed ; the secretions of the stomach, liver and 
bowels are checked. They become emaciated and live 
upon their reserve of former years. 

The first and second class will generally yield to 
proper treatment. The third class may also be cured, 
providing you can establish a cure for the painful dis- 
ease, but, as a rule, the fourth class is beyond all medical 
aid and the patients should be allowed to use the drug 
as long as they live. 

Opium and other drug habitues are always secretive 
in their disposition and the physician who treats them 
should exercise his skill in receiving the confidence and 
co-operation of his patients. They are wedded to their 
drug and believe that it is part of their existence ; there- 
fore they should have the assurance that they can have 
all of the drug their system requires during the treat- 
ment, but that they are to take only that which they 
receive from you. There are several things to be con- 
sidered in carrying out a treatment for the drug habits. 
We have to combat the physical and mental disturbances, 
which are sure to follow the withdrawal of the drug. 
We have to relieve the patient from the craving for the 
drug, that we may enable him to permanently discon- 
tinue its use. We have to restore his mental and physical 
condition so that he will not depend upon the drug for 
support. These are problems which often confuse the 
minds of the most skillful physicians, but they can be 
solved by appropriate therapeutical measures. 

The preliminary treatment for drug addicts should 
be very much the same as that for alcohol. If, in your 
judgment, you think the case is a curable one, for a few 
days previous to the treatment you adopt, the patient 



AIXOHOL AND DRUG HABIT. 35 

should take sweat baths and open the pores of his skin. 
The alimentary tract should be cleaned out by the use of 
calomel and phosphate of soda. Acetate of potassium 
will be found a good remedy to stimulate the secretions 
of the kidneys. The patient will then be ready for the 
regular routine treatment. There are several ways in 
which the drug habit may be treated, viz : — the gradual 
reduction method; the rapid reduction method, and the 
immediate withdrawal method. 



THE GRADUAL REDUCTION METHOD. 



Although this method takes a little longer to estab- 
lish the desired results, I believe it is the best treatment 
that can be instituted for the general run of patients, and 
it can be used in private as well as in sanitarium practice. 
This process will require a tonic treatment to support 
the system while the drug is being reduced from day to 
day. The time required to effect a cure depends some- 
what upon the condition of the patient. The more of 
the drug the patient is in the habit of taking, the longei 
the time in effecting a cure. After the patient has taken 
the preparatory treatment for a few days, he should be 
given a hypodermic injection of strychnine nitrate — 1-40 
grain. Use at six and eleven-thirty a. m. and six p. m. 
He should also take the following: 



TONIC COMPOUND. 

^ Atropine Y\ gr. 

F. E. hyoscyamus 2 dr. 

F. E. lupulin *. . . y 2 oz. 

F. E. avena sativa 1^2 oz. 

F. E. Erythroxylon coca 1 oz. 

Simple elixir q. s. 6 oz. 

Mix. Sig. A teaspoonful at seven, nine and eleven- 
thirty a. m. and at one, three, five, seven and nine p. m. 



36 ALCOHOL AND DRUG HABIT. 

THE METHOD OF REDUCTION. 



The drug may be reduced either in liquid or powder 
form. I prefer the powder, which should be triturated 
with sugar of milk. If you are treating a patient for the 
morphine habit, duplicate quinine for the morphine as 
you withdraw the latter. This will give the powder a 
bitter taste so that it will not be noticed by the patient 
that you are using less morphine each day, and at the 
same time you get the tonic effect from the quinine. 

The amount by which the morphine is reduced each 
day will depend upon the amount consumed. To illus- 
trate, if the patient is in the habit of consuming fifteen 
grains of morphine in twenty-four hours, it should be 
prepared with sugar of milk as follows : 

If Morphine sulphate 15 gr. 

Sugar of milk 45 gr. 

Triturate and divide in as many powders as the 
patient wishes. He can take these powders at the same 
intervals as was his former custom. The next day we 
will make a reduction of two grains and add quinine as 
follows : 

I£ Quinine sulphate 2 gr. 

Morphine sulphate 13 gr. 

Sugar of milk 45 gr. 

Triturate and divide in powders as required. 

We will attempt to reduce the morphine two grains a 
day for the first five days and add two grains of quinine 
each day, then one grain a day for three days, then, half 
a grain a day for four days. After this, the drug should 
not be given at all, if possible. Now we commence to re- 
duce the quinine as we did the morphine until the patient 
requires none of the powders. This is the general plan of 



ALCOHOIv AND DRUG HABIT. 37 

treatment by the simple reduction method, but often- 
times we have to deviate from this, and not reduce the 
drug so rapidly, also giving an extra dose of morphine 
to allay the nervousness. But this method of treatment 
should be adhered to as nearly as possible, and be sure 
that the patient gets a smaller quantity of the drug each 
day. The tonic treatment may be kept up for some 
time after the powders are abandoned, but it should be 
taken in smaller doses each day and withdrawn alto- 
gether a week or two after the quinine is stopped. 



THE RAPID REDUCTION METHOD. 



This method may be used with a marked degree of 
success in a large number of curable cases and has the 
advantage that it does not require much of the physi- 
cian's time, as it can be administered at the patient's own 
home as well as at a sanitarium, and the percentage of 
cures are similar in cases of those who use two or sixty 
grains a day. During this treatment the patient should 
not be allowed to do any work or attempt to attend 
to any business, but he may take exercise in the open 
air if he wishes. This treatment is known as Marvelle 
Anti-Narcotic Specific No. 3, somewhat modified. 

Formula No. 1. 

5 Powdered ext. cannabis indica 4 gr. 

Res. podophyllum 3 gr. 

Atropine sulphate % gr. 

Strychnine nitrate ]/z gr. 

M. Ft. Caps. No. xvj. 

Sig. One capsule with every dose of the following 
preparation : 



38 AIXOHOL AND DRUG HABIT. 

Formula No. 2. 

1^ F. E. avena sativa 1 oz. 

F. E. passiflora incarnata i l / 2 oz. 

Bromidia (Battle & Co.) i l / 2 oz. 

Spts. ammonia aromatic 2 oz. 

Syr. lactucarium virosa 2 oz. 

M. Sig. Four drachms as directed. 



DIRECTIONS FOR USING. 



The preliminary treatment should be the same for this 
as for the former treatment. After the bowels have 
moved freely in the morning give one capsule of formula 
No. 1 and a teaspoonful of formula No. 2. These 
should be given in one dose. This should be taken at 
six, nine and eleven-thirty a. m. and three, six and nine 
p. m. and every three hours through the night if re- 
quired. If the patient sleeps, he should not be disturbed, 
but in most cases he will be very restless, and fifteen 
grains each of hydrate of chloral and bromide of 
potassium may be required. After the patient has taken 
the treatment this way for two days, the dose should be 
given at intervals of about every six hours, at six and 
eleven-thirty a. m. and six and eleven-thirty p. m., for 
two days. If the patient is addicted to large quantities 
of the drug, he may be extremely nervous and while he 
is taking the regular treatment at intervals of six hours, 
he may also take one-half to one drachm of F. E. passi- 
flora incarnata between the other doses as required. 
Should the nervousness be extreme, you will also find 
that twenty or thirty drops of F. E. avena sativa will be 
valuable every few hours. 

From now on all medicines should be gradually with- 
drawn by reducing the dose from time to time, until none 
is required, and the cure completed. You should not 
give any of the drug to which the patient is addicted 



ALCOHOL AND DRUG HABIT. 39 

throughout this treatment, unless it is absolutely neces- 
sary, as in extreme nervous prostration, when it may be 
administered in doses as are required without interfering 
with the treatment to any marked degree. 



THE IMMEDIATE WITHDRAWAL METHOD. 



This is sometimes called the three-day cure, and is 
also known as the Marvelle Anti-Narcotic Specific No. I. 
It is this method which is used in most of the quick-cure 
institutes throughout the country and can only be 
adopted to a good advantage in young, vigorous and new 
cases. 

Formula No. i. 

^ Hyoscine hydrobromate ^ gr. 

Tincture rhus tox 5 min. 

Tincture apis mellifica 5 min. 

Solution boracic acid (2 per cent) ... 1 oz. 

Mix. Sig. Use hypodermically. Maximum dose ten 
minims, minimum dose five minims ; use according to the 
directions which follow : 

Formula No. 2. 

^ Hyoscine hydrobromate }i gr. 

Strychnine nitrate 1 gr. 

Nitro-glycerine % gr. 

F. E. avena sativa 2 oz. 

Simple elixir q. s. ad. 6 oz. 

Mix. One teaspoonful every four to six hours. 

The patient is prepared for this treatment in the same 
manner as in the former treatment, and he is then re- 
quested to abstain from the use of the drug to which 
he is addicted, until he can no longer resist the craving. 



40 ALCOHOL AND DRUG HABIT. 

Then he may be given a hypodermic injection of five 
minims of formula No. i. At the end of fifteen minutes, 
give him five minims more, and in a half hour he can take 
ten minims more. The patient will now tell you that his 
throat is very dry, and he will fall asleep ; his sleep will 
probably last four or five hours. If he should become 
sleepy after the second dose, five minims will be sut- 
ficient for the last injection. 

When the patient awakens he will complain of being 
dizzy; his pupils will be dilated and his face flushed. If 
he has been asleep four or five hours, he should have 
another injection of ten minims. 

By this time he is getting the characteristic physiologi- 
cal effects of the hyoscine. Hewlil imagine and do all sorts 
of things. He may cry, sing or imagine he sees funny 
people; he will pick at the bed clothes, etc. This should 
not cause you to be alarmed, as all these symptoms are 
due to the denarcotizing effects of the hyoscine. The 
patient should be given hypodermic injections at in- 
tervals of four or five hours until he has been kept in 
this condition for a period of twenty-four hours; then 
discontinue their use and allow the patient to resume his 
normal mind. He may ask for more of his accustomed 
drug or he may say that he has no desire for it what- 
ever. If he should still crave the drug, he should be kept 
under the influence of hyoscine for a period of twelve 
hours longer; then stop the treatment again until he is 
rational. If he still has a craving, you may again pro- 
duce the semi-intoxicated condition with the hypodermic 
injections of formula No. I, for a few hours longer, but 
if he states he has no further use for the drug, and is free 
from the craving, you should discontinue the hypo- 
dermic injections and at once commence giving him 
formula No. 2. 

During the time you are giving the hypodermic injec- 
tions, the patient may manifest a variety of symptoms. 
His heart action generally remains about normal, but if 
it should become weak, give him a hypodermic injection 
of 1-40 grain strychnine nitrate or 1-100 grain nitro- 



ALCOHOL AND DRUG HABIT. 41 

glycerine, if his body is cold. The patient will almost al- 
ways vomit freely and feel much better afterwards. He 
may also have fetid breath, dry tongue and free saliva- 
tion. None of these symptoms should cause you alarm. 

Respiration may be accelerated, but this is of little 
concern. If it should become labored, one-fourth or one- 
half grain of morphine may be given, which will give im- 
mediate relief without retarding the treatment. During. 
the treatment, the patient should have all the water he 
wants and nutrition should be kept up as much as pos- 
sible with milk or with some one of the prepared in- 
valid foods. 

After the patient tells you he has no desire for his 
accustomed drug, he should commence taking a tea- 
spoonful every four hours of formula No. 2. This should 
be continued for a few days, according to the needs of 
the patient, when it should be gradually withdrawn. 

The most common complaint of one who has taken 
the opium cure is insomnia, and it is always best 
to omit hypnotics. If possible, try to induce sleep by 
having the patient take hot or cold baths, but, if it is ab- 
solutely necessary, you may give from seven to fifteen 
grains each of hydrate of chloral and bromide of 
potassium. 

A patient undergoing this treatment should be un- 
dressed and confined to his room, and have the constant 
attention of a nurse, who should watch the patient very 
closely and see that he has a hot or cold bath every day. 
This has a remarkable soothing effect. Allow the patient 
to sit up or lie down as he prefers. The bowels should 
move at least every other day, but, if diarrhoea should 
exist, it should be checked by appropriate treatment. 

This method of treatment may be considered rather 
heroic, but it is not dangerous in selected cases. The 
patient should never be told beforehand the effects of the 
treatment, but you can inform his friends if you wish. 
This is a very successful treatment and will produce re- 
markable results in curable cases, but I prefer the grad- 
ual reduction method when it can be applied. 



42 ALCOHOL AND DRUG HABIT. 

A CURE FOR THE TOBACCO HABIT. 



It may seem rather unreasonable to state that the 
tobacco habit is one of the most difficult to conquer, 
but such is the case, and in order to effect a cure, the 
patient has to exercise his will-power to its fullest extent. 
In this habit we have what may be termed a machanical 
as well as a physical and mental condition to overcome. 

Those who use tobacco are accustomed to having 
something in their mouth and they miss this as much 
or more than they do the narcotic effect of the tobacco. 
I once treated a patient for the tobacco habit, who used 
at least three ounces of fine-cut every day, and after the 
cure was completed, he stated that he had no desire for 
tobacco, but he must have something in his mouth ; he, 
therefore, chewed wheat. He was still keeping up this 
practice when I saw him last, four years after taking 
the treatment. Others want gum, while cigarette, cigar 
and pipe smokers often like to hold a lead-pencil in their 
mouth. 

The following formula has proved that it meets the 
demands in curing the tobacco habit in many cases in my 
practice : 

^ Atropine sulphate y% gr. 

Tr. nux vomica y 2 dr. 

Tr. humulus I oz. 

Tr. quassia . I ^ oz. 

Tr. gentian i l / 2 oz. 

Tr. cinchona comp 2 oz. 

M. Sig. A teaspoonful every two or three hours while 
awake. 

For the chewing tobacco habit the patient should be 
allowed a small amount for a few days ; he should use 
fine-cut and use a piece no larger than a bean. 

This may be used every three hours for the first 
day; every five hours the second day; the third day it 



ALCOHOL AND DRUG HABIT. 43 

may be used twice, and the fourth day it should be given 
up altogether ; but every time the patient thinks he wants 
a chew from this time on he should take a few drops of 
medicine on his tongue. This will stop his craving. 

If the patient smokes, he should be instructed to 
smoke a pipe instead of cigars or cigarettes. He ma) 
have a short smoke of not more than a quarter of a 
pipe full at a time every three hours the first day, and 
every five hours the second day ; twice the third day, and 
none the fourth day. The same plan of treatment of 
taking a few drops of medicine on the tongue will apply 
to smoking the same as it does for chewing. From now 
on he need not take a teaspooiful of the treatment 
every three hours, as the medicine he takes when he 
has a desire to use tobacco will be sufficient to cure him. 
The treatment should be kept up for a month or more. 



WHAT CONSTITUTES A CURE FOR THE AL- 
COHOL, MORPHINE AND OTHER HABITS. 



The physicians in charge of institutes or sanitariums 
where these habits are exclusively treated, differ greatly 
as to the percentage of cures, some claiming ninety-five 
per cent., and others as low as fifty per cent. These dif- 
ferent percentages of success naturally lead us to in- 
quire what may be considered a cure. 

I believe that if we can succeed by proper treatment 
in placing a patient in a condition in which he does not 
require or crave any alcohol, morphine or other drug to 
which he is addicted, for a period of six months, he may 
be considered cured, and, if he has any strength of char- 
acter, he can let it alone from that time on. There are 
always periods after a patient has taken treatment when 
he has a feeling of loneliness or absent-mindedness steal 
over him. This cannot be termed a craving, but he can- 



44 ALCOHOL AND DRUG HABIT. 

not help realizing the delightful sensations that were 
present when he was full of his once accustomed poison. 
It is therefore many times beneficial to give a good tonic 
preparation after the regular treatment is abandoned and 
to tell him that if he should ever have a desire for his 
liquor or drug to take this preparation for a day or so. 
This in many cases will carry him through. 

Patients of this kind should have their minds oc- 
cupied either with work, amusement, travel or change of 
scene, or some other diversion. 

If we consider a term of six months a sufficient length 
of time to pronounce a case cured, the percentage of 
cures will be much larger than they would if we accept 
only those cases which are permanently cured. Of the 
first fourteen cases I treated for alcoholism, the first to 
relapse was at seven months. From this time up to two 
years, eight went back to their former habits, one died 
six months after taking treatment, of pneumonia. Some 
of these eight took the treatment again, however, and did 
not drink again for many months. The last time I heard 
from the remaining five, they were still total abstainers. 
I have had occasion to note patients who have taken the 
Keeley and other treatments, and I found that the per- 
centage of cures are about the same. Owing to the lack 
of association, I believe that the percentage of cures in 
drug habits is greater. We will always notice that those 
who drink alcohol want associates, while those who in- 
dulge in drugs want secretiveness. 

Even if the percentage of permanent cures may be 
considered small, this treatment has been instrumental 
in doing more good than any other temperance cause ever 
instituted. If its only field of importance were to make 
homes happy for a period of six months or a year, it 
would be a worthy practice, but we find, on the other 
hand, a certain percentage of permanent cures, which 
bring with them new manhood and happy families. 

Last year a gentleman representing a concern from 
Knoxville, Tenn., canvassed this state, selling the form- 
ulae and "system" of the Triumph Cure, for liquor, mor- 
phine, cocaine, chloral and tobacco habits. The price 



ALCOHOL AND DRUG HABIT. 45 

charged for the system was from $10.00 up, according to 
territorial right; the purchaser pledging himself under a 
$500.00 contract never to disclose the secrets. This is a 
fair example of the many things which are offered the 
medical profession, although this system is above the 
average in merit. I have used some of the formulae with 
good results, and will give a verbatim copy of the orig- 
inal, which was bought for ten dollars by a physician re- 
siding in Indiana. The information given may add to 
your knowledge in treating these habits. 



TRIUMPH FORMULAE FOR LIQUOR, MOR- 
PHINE, COCAINE, CHLORAL AND TOBACCO. 



WHISKEY TREATMENT. 

Drunkenness is now recognized as a disease. Since it 
is a disease of the nervous system, or pathological condi- 
tion which disturbs the mental equilibrium, or as it were, 
a defect in the will power, termed dipsomania. Being 
convinced, therefore, that we have a disease of a spe- 
cific nature to deal with, we must set out to find a specific 
treatment, using such therapeutic re-agents as will main- 
tain or bring back the nervous system to its original 
physiological equilibrium, or normal condition of will- 
power. This may be accomplished by improving the 
patient's general tone, by stimulating and strengthening 
his nervous system and by surrounding him with good 
moral influences. It has been proved that strychnine is a 
specific remedy, as it is the most powerful and valuable 
neurotic which we possess. Atropine has a specific ac- 
tion in decreasing the appetite for alcohol ; hence, a com- 
bination of the two remedies with others gives us as 
nearly a specific as can be wished for. I would advise 
that you get the full confidence and consent of the 
patient before commencing treatment and have him stop 
all work and worry for the first few days. This should 



46 ALCOHOL AND DRUG HABIT. 

always be the case with morphia, cocaine, chloral 01 
cigarette habits. If you follow this rule, you will cure 
every case. If you do not, your percentage of cures will 
be smaller. If a patient stubbornly presists in drinking 
liquor, give him a full drink of whiskey, and immediately 
follow it with apomorphia. This will soon nauseate him 
so that he will not attempt a repetition while under treat- 
ment, and he will be fully convinced of the fact that his 
disgust for the taste or even the smell of liquor is due 
to the whiskey and not to the apomorphia which he has 
taken. Then push the treatment to its fullest extent, 
even to the point of toxic effect. 

The maximum dose must be reached gradually until 
the drug effect becomes manifest, then gradually de- 
creased. Should any antidote be needed, give chloral 
hydrate. 

It is necessary to use considerable judgment with 
some patients, as they have physiological idiosyncrasies 
regarding the drug employed. With all patients, es- 
pecially those who are weak, nervous or worn out, begin 
the treatment cautiously, with two-thirds of a dose. Pro- 
long the treatment and do not be in too great a hurry. 
In all cases it is necessary to give an internal medicine as 
tonic. When the patient refuses liquor it is well to dis- 
continue the atropine entirely and substitute picrotoxine, 
and if perspiration should be copious, discontinue this 
also. Have all your patients take a warm bath every 
two or three days, and keep the liver acting and bowels 
open with calomel in combination with ipecac and soda. 
If you follow the above treatment and use discretion 
when needed, studying each individual case, you will 
meet with no disasters, nor fail to perfect a cure. You 
may give the patient all the whiskey he wishes, having 
him drink in your presence, but I would not advise it. 
Stop them immediately, or in a day or two, at most. This 
can be done by moral persuasion and encouragement. 
The diet should consist largely of vegetables and fruits. 

Directions for compounding these medicines and for 
using them successfully are found on the following pages,, 
classified under their respective diseases. 



ALCOHOL AND DRUG HABIT. 47 

HYPODERMIC INJECTIONS. 



This is a certified copy of the original formula No. 
10041 registered with Sharp & Dohme, pharmacists, of 
Baltimore, Md., from whom it may be ordered, at fifty 
cents a pint or one dollar per quart : 

I£ Strychnine 85-100 gr. 

Atropine sulph 40-100 gr. 

Acid boracic 10 gr. 

Hydrastis canadensis 10 drops. 

Aqua destillata q. s. ad. 1 oz. 

Mix. Sig. According to directions as below. 

Then I have four empty two-drachm vials, corked ; 
upon one cork I mark No. 1, in ink, and upon another 
cork I mark No. 2, and so on to 4. Then I put 100 drops 
of the original formula No. 10041 in each of the four two- 
drachm vials. Understand, now, all four vials are like 
the original formula. Vial No. 1 leave as the original 
formula, without adding any tablets of strychnine nitrate 
as it is the weakest proportion used. Vials Nos. 2, 3 and 
4 I will make each so many points stronger than the 
other, as shown below: 

To vial No. 2 I add 5 1-40 gr. tablets of strychnia nitrate. 
To vial No. 3 I add 10 1-40 gr. tablets of strychnia nitrate. 
To vial No. 4 I add 20 1-40 gr. tablets of strychnia nitrate. 

Five drops is a dose from any of the vials Nos. 1 to 4. 
Give this hypodermically or by the mouth at 8 a. m., 12 
m., 4 p. m., 8 p. m. 

Always commence hypodermic injection with one 
dose from vial No. 1 ; then one dose of vial No. 3; then 
one dose of vial No. 2; then one dose of vial No. 1, skip- 
ping backward and forward this way. 

If you need a stronger dose, work in vial No. 4 in the 
same manner as stated above. Use picrotoxine — 1-40 
grain, by adding to a dose from any of the vials (1 to 4) 



48 AI,COHOI, AND DRUG HABIT. 

hypodermically or by the mouth, enough to make the 
patient sweat the poison out of the system and to bring 
back the natural color. 

If you want to treat a patient entirely by the mouth, 
instead of treating him hypodermically, use vial No. 3 
through the whole course of treatment; use the same 
sized dose, with alcoholic tonic, as if you were treating 
hypodermically; and you should know the patient gets 
the medicine regularly to make a cure. I advise you in 
all cases to treat hypodermically if possible; then you 
know that the patient gets the medicine regularly, and 
you are sure of success. 

Don't expect physiological effect before five or six 
days, viz., twitching of muscles, dryness of mouth, etc., 
and as soon as you get the toxic effect, go back to vial 
No. 1 and stay after it is obtained. You may now hold 
the effect with the weakest vial, No. I. As the least 
medicine given to any patient is always the best, give 
always the smallest dose that will produce the desired 
effect. After you have reached the maximum dose you 
may decrease the amount and still hold the physiological 
effect, which is best. Then the fourth day always ask 
your patients if they still want whiskey or beer. Of 
course some of them will say yes. Don't be alarmed 
at this. Then tell them you don't see how it is, as you 
are sure the medicine is taking effect, or is about to, at any 
rate, as now is the time to make it take effect, etc. As the 
patient has entire confidence in you by this time, since 
he is feeling so much better, eating and sleeping well, 
and the thirst and desire is leaving him, tell him you want 
to see him drink in your presence. This may be done 
on the fourth day after you have commenced treating 
the patient; then tell him to go and get some whiskey 
or beer, as you don't want to furnish it to him, for he 
would say you had "drugged" it and would lose con- 
fidence in you. In this way he sees you had no chance 
to touch the whiskey or beer, and he is perfectly satisfied 
you have not tampered with either. This must be done 
at one of the regular times of the hypodermics. Then, 
in place of giving the regular dose, skip one and give 



ALCOHOL AND DRUG HABIT. 49 

instead i-io grain of apomorphia immediately after he 
has taken the whiskey or beer. Of course, you know the 
result. Repeat this once or twice a day, until whiskey 
is disgusting to him in sight, smell or taste. Then keep 
up the regular treatment three weeks, or longer if the 
case should demand it. Never increase the size of the 
hypodermic or dose. If you want a stronger dose, go 
from vial to vial, as you see each vial is marked so many 
points stronger than the other, as tabulated. Cases of 
delirium tremens are best treated by giving hypodermic 
from vial No. I, and by adding to each injection 1-250 
grain of hydrobromate of hyosciamine. By using the 
drug in this way you see that there can be no bad re- 
sults obtained, as by using morphine to quiet the 
patient, to make him sleep, and taking the chances of 
adding to the whiskey or beer habit the morphine desire. 

Keep the dispensing vials clean, rinsing them well 
before refilling, being careful not to inject sediment or 
deposit in solution in the arm, as it will produce an ab- 
cess. All air must be excluded from the syringe before 
injecting. Wipe off the needle after using on one 
patient and before using on another. 

As a tonic for whiskey patients I use a private formula 
which you will find below, No. 10043, registered with 
Sharp & Dohme, Pharmacists, Baltimore, Md., from 
whom it may be ordered at $3.25 per gal. : 



ALCOHOLIC TONIC. 



IJ Acid muriatic, C. P. free 2048 gr. 

Powdered phosphate of lime 768 gr. 

Powdered phosphate magnesia. .. .1024 gr. 

Fl. ext. hydrastis canandensis 256 gr. 

Powdered quinine muriate 256 gr. 

Crystal strychnine nitrate 10-34 g r - 

Fl. ext. Pulsatilla 255 gr. 

Simple syrup q. s. ad. 1 gal. 

Mix. Sig. As directed below. 

[4] 



50 ALCOHOL AND DRUG HABIT. 

Teaspoonful every four hours in a little water, and 
taken between hypodermic injections or doses. In case 
this tonic cannot be had, you will find a good substitute 
in Phillips' Phospho-Muriate of Quinine Compound, ad- 
ministered as above. This is considered by all physicians 
the best tonic. It is sold by druggists. Ours is better 
and less expensive. Compare the formulae and prices. 
This is given at 6 a. m., 10 a. m., 2 p. m., 6 p. m. and io 
p. m., when the patient is up at the first and last hour. 
After stopping the use of hypodermics it is necessary to 
give the tonic twice a day for a week or so, with one 
tablet of i-6o grain of strychnine nitrate added to every 
teaspoonful contained in the bottle. 



A FEW WORDS OF CAUTION. 



Examine each case thoroughly before treatment, es- 
pecially the action of the heart and the nervous system, 
that you may note with benefit to yourself the changes 
that will be produced by the action of the remedies used. 
Question patients particularly as to why they drink; 
whether from the love or the taste of whiskey or beer or 
the effect produced. If a patient drinks from love of the 
taste of whiskey or beer, you need not hesitate to take 
him and guarantee a cure, for you can make the taste or 
smell of whiskey or beer disgusting to him, and he will 
not drink it again when the fascinating taste is gone. 
This is accomplished by giving the treatment with one 
dose of apomorphia. If the patient drinks for the effect 
of whiskey or beer, don't fail to give hypodermic of apo- 
morphia on the fourth day, just after giving him a drink 
of whiskey or beer in your presence, repeating the dose 
once or twice a day until whiskey or beer becomes nause- 
ating to him in sight, smell and taste. If the patient 
who drinks for the love of whiskey or beer persists in 
drinking, or it is difficult to turn him against it, give apo- 
morphia in manner as stated above until you do obtain 
the desired results. 



AIXOHOL. AND DRUG HABIT. 51 

MORPHINE, OPIUM, LAUDANUM, COCAINE 
AND CHLORAL TREATMENT. 



The most perfect antidote for these poisons is per- 
manganate of potash. For all cases give one injection of 
the antidote, and let one grain of permanganate of potash 
be the maximum dose to be given at the beginning of 
treatment, hypodermically. It matters not what amount 
of morphine taken in 24 hours. If they take less than one 
grain of morphine in 24 hours let the dose of the perman- 
ganate of potash be governed accordingly. 

Usually you can get your patient off morphine at 
once by the addition of 1-200 grain of hydrobromate of 
hyosciamine to the hypodermic injection from vials No. 1 
to 4. Use in the same way as in whiskey cases, whatever 
strength you deem sufficient. 

Don't give the hydrobromate of hyosciamine oftener 
than is necessary to control the patient, viz., his nervous- 
ness, sleeplessness, etc. Then keep up the same injec- 
tion as for whiskey cases from vials, viz., Nos. 1 to 4, 
given every four hours and continued from one to five 
weeks or longer as the case demands. 

The tonic I use for the above mentioned diseases is 
No. 10042, which you will find below. Then I have two 
four-ounce bottles filled with the tonic. To one bottle 
add about three-fourths the amount of morphine taken 
by the patient each day. You must multiply three- 
fourths of the morphine taken by the patient for one day 
by eight, as four-ounce bottle, No. 2, has thirty-two 
doses ; four doses per day will last eight days. This bot- 
tle we mark No. 2; the other bottle, without the mor- 
phine, as No. 1. Have the patient take a teaspoonful out 
of the bottle with morphine, No. 2, four times a day, 
adding to this bottle with morphine, viz., No. 2, a tea- 
spoonful from the bottle without morphine, No. 1, after 
each dose taken. These doses are to be taken between 
the hypodermic injections. By treating this way you 



52 ALCOHOL AND DRUG HABIT. 

see bottle No. 2 will last sixteen days. The patient has 
been taken off morphine in this way so easily and quickly 
that he is not aware of it, and you can hold him. After 
taking these two bottles, continue the hypodermic injec- 
tion three weeks or longer, as in whiskey cases, and also 
the tonic from private formula No. 10042, which you will 
find below, without adding any morphine, registered with 
Sharp & Dohme, Pharmacists, Baltimore, Md., who sell 
it at $4.00 per gallon : 



MORPHINE, OPIUM, LAUDANUM, COCAINE 
AND CHLORAL TONIC. 



3J Powd. red cinchona 1 lb. 

Powd. Hydrastis canandensis y^ lb. 

Powd. pulsatilla Yz ft>« 

Powd. nux vomica 2 oz. 

Powd. xanthoxylum berries 2 oz. 

Powd. capsicum J4 oz. 

Powd. avena sativa 8 oz. 

Dilute alcohol q. s. ad. 1 gal. 

Mix. Sig. Teaspoonful every four hours of the above 
tonic. 

The morphine patient cannot be trusted, and you 
must examine him thoroughly for any morphine, opium, 
or hypodermic that he may have in his possession, de- 
manding that they be given up. An attendant should 
be with patients for some time and the physician with 
them should always be on the alert, examining the pupils 
of the eye constantly, for the drug will first show its 
effect there. If you can keep them from using morphine 
or opium for a week you may be certain of a cure. The 
bowels are at first likely to be affected, and patients may 
have cramps in their limbs. For this condition use 10 
per cent solution veratrum album in four or five drop 
doses, which will greatly benefit and relieve them. You 



ALCOHOL AND DRUG HABIT. 53 

may tell them that you will reduce the quantity of the 
drug gradually, but do not let them know at what time 
you cease to give them morphine. Should these cases at 
any time need something to make them sleep, give them 
whiskey. Do not labor under any delusion that you must 
increase the size of the dose and the strength of the 
hypodermic injection, if you fail to obtain the physio- 
logical effects of the remedies used within a few days, 
and under no circumstances add any additional strychnia 
nitrate tablets to the doses or vials as tabulated under 
hypodermic injections. Increase doses by using solutions 
from vial to vial. 



CIGARETTE TREATMENT. 



Begin this treatment with hypodermic injections of 
picrotoxine in 1-40 grain dose added to one of the hypo- 
dermic injections from vials Nos. 1 to 4, treat in the 
same way as for whiskey cases until copious perspiration 
ensues; then have an attendant give the patient a hot 
sponge or steam bath, cooling him off gradually with a 
shower, at first warm, then cold, rubbing until dry. The 
cigarette habit in time will cause the user to be affected 
with a mental condition resembling insanity more than 
any of the foregoing habits. It particularly affects the 
will-power, and is similar to insanity, pitiable, yet harm- 
less. 

^ Formula No. 10041 2 dr. 

Tr. cannabis indica 5 drops. 

Mix. Sig. As directed below. 

Inject hypodermically from five to ten drops, from 
two to four times a day, using your judgment in indi- 
vidualizing your case and the dose to be used, as in 
whiskey cases ; continue treatment, however, from three 
to five weeks hypodermically, and the tonic, as mentioned 
below, for a week or ten days longer. 



54 ALCOHOL AND DRUG HABIT. 



CIGARETTE TONIC. 



If Phillips' phospho muriate of quinine 

compound 5 oz. 

Commercial avena sativa i oz. 

Mix. Sig. As directed below. 

Teaspoonful at a dose, from three to four times per 
day. If the patient becomes nervous you have to use 
the following prescription, viz. : 

^ Thein (Merck's) 8 gr. 

Acid boracic 2 gr. 

Aqua destillata q. s. ad. I oz. 

Mix. Sig. As directed below. 

Injection from five to ten drops hypodermically, re- 
peating the dose as your discretion dictates. Treat cases 
in the following manner: Giving injections hypo- 
dermically at 8 a. m., 4 p. m. and 8 p. m., giving a tonic 
at 6 a. m., if the patient is up at the first and last 
hours ; then at 10 a. m., 2 p. m., 6 p. m. and 10 p. m. 

The cigarette habit is about the most difficult of all 
we have to contend with and requires from three to five 
weeks to perfect a cure. It is about as good a plan as 
any in the treatment of these cases to cut them short. 
If you do not adopt this plan, have them decrease the 
number of cigarettes each day by one-third or one-half, 
and in four or five days you may stop them entirely. 
Patients will get very nervous and weak, but encourage 
them in every way you can. 

If the patient stubbornly persists in smoking, after 
the first nine days, give him 1-10 grain apomorphia hypo- 
dermically, just after you have given him a cigarette to 
smoke in your presence, and keep this up until the sight, 
smell and taste is disgusting to him. Give this at one of 
the regular hours of treatment, instead of the regular 
hypodermic at that hour. 



ALCOHOL AND DRUG HABIT. 55 



TOBACCO TREATMENT. 



]$ Formula No. 10041 J4 dr. 

Tr. plantago magor £4 dr. 

Tr. avena sativa 24 ^ r * 

Mix. Sig. As directed below. 

Give the patient three drops by turning the bottle on 
the cork and touching it to the tongue each time he feels 
like taking a chew or a smoke, especially a dose after 
each meal, asking the patient to assist you by lessening 
the number of chews of tobacco or cigars each day. 
Give the patient treatment hypodermically, in the same 
manner as for whiskey patients, from vials Nos. 1 to 4, 
five drops at a dose, three times a day. In from nine 
to fourteen days' treatment, tobacco will be disgusting to 
his sight, smell and taste. Then stop the tobacco en- 
tirely and continue the prescription for tobacco cure by 
touching it to his lips or tongue when he feels like using 
tobacco. If necessary give alcoholic tonic No. 10043, a 
teaspoonful three times a day. If the patient becomes 
very weak and nervous for the first few days give ten 
per cent solution veratrum album in four and five drops 
at a dose. If the patient is stubborn and persists in 
smoking or chewing tobacco after the ninth day, give 
him 1-10 grain apomorphia hypodermically, just after 
taking a chew or smoke, in your presence, and keep this 
up once or twice a day until the sight, smell and taste 
of tobacco is disgusting to him. Give this at one of the 
regular hours of treatment instead of regular hypodermic 
at that hour. 

You will find many things to worry and disappoint you 
in the treatment of patients for these diseases, but do not 
lose your temper and do not get disheartened, but hang 
on to them as long as there is any hope of reclaiming a 
wreck to his friends, family and society. 



56 ALCOHOL AND DRUG HABIT. 

The foregoing treatment is the best known for dipso- 
mainia, morphia, cocaine, chloral, tobacco and cigarette 
habits that is today endorsed by the medical profession 
as can be verified by the experience of numerous physi- 
cians throughout the United States. 



THE KEELEY TREATMENT. 



A physician who was in charge of one of the Keeley 
Institutes and who afterwards conducted a sanitarium of 
his own, for the cur^ of alcohol, drug habits and nervous 
and mental diseases, published a little booklet giving the 
methods of treatment which he used, which he claims 
were identical with the methods used at the Keeley In- 
stitute. This booklet was sold to physicians for $25.00, 
and had many purchasers, and I believe the treatment he 
gives is reasonably correct, as I have met several physi- 
cians who had charge of similar institutes and are will- 
ing to vouch for its accuracy. Space will not allow me 
to publish the entire article, which to a certain extent 
would be only a repetition of what has been said, but I 
will give the formulae of some of the preparations used, 
and the reader can judge for himself as to their value. 



HYPODERMIC SOLUTIONS. 



Solution "S." 



^ Boracic acid 4 gr. 

Strychnine nitrate y?. gr. 

Aqua des 2 oz. 

Tr. cudbear. q. s. color. 

Sig. Dose five to ten minims, four times a day. 



ALCOHOL AND DRUG HABIT. 57 

Solution "A." 

^ Atropine sulphate . ."^ gr. 

Boracic acid 20 gr. 

Aqua des 1 oz. 

Mix. Sig. Dose five to eight minims. 

Solution "A P." 

IJ Apomorphine 4 gr. 

Boracic acid 20 gr. 

Aqua des 1 oz. 

Mix. Sig. Dose six to ten minims. 



Solution "T." 

1J Thein. mur 8 gr. 

Boracic acid 20 gr. 

Aqua des 1 oz. 

Sig. Dose five to ten minims. 



Solution "P." 

I£ Pilocarpine mur 8 gr. 

Boracic acid 20 gr. 

Aqua des 1 oz. 

Mix. Sig. Dose five to six minims. 



Solution "M." 

I£ Morphine sulph 8 gr. 

Aqua des I oz. 

Mix. Sig. Dose fifteen to thirty minims. 

It will be noticed that the name of the solution is an 
abbreviation of the active ingredient contained. To illus- 
trate, Solution "A" is atropine, "S" is strychnine, etc. 



58 ALCOHOL AND DRUG HABIT. 

TREATMENT FOR ALCOHOLISM. 



When the patient enters the institute he is given a 
mixture containing the following: 

I£ Gold and sodium chloride 30 gr. 

Strychnine nitrate '. 4 gr. 

Atropine sulphate 1 gr. 

Glycerine 2 oz. 

Fl. ext. cinchona comp q. s. ad. 16 oz. 

Mix. Sig. One teaspoonful in water three times a 
day. 

In addition to the internal remedy, the patient is also 
given hypodermic injections from the solutions that the 
physician deems the patient requires. The atropine solu- 
tion is generally pushed, until patients get the full 
physiological effect of the drug. The apomorphine is 
used when it is desired to produce the "sickening pro- 
cess." You will notice that the solutions are colored 
conveniently for the "barber pole shot." After the desire 
for liquor has been conquered, the patient is given hypo- 
dermic injections from solution "S," and the following 
internal remedies throughout the balance of the treat- 
ment: 

1J Ext. cinchona solid 40 gr. 

Grd. gentian root 2 oz. 

Powd. capsicum 20 gr. 

Grd. bitter orange peel y 2 oz. 

Glycerine 3 oz. 

Aqua 2 quarts. 

Caramel q. s. to color. 

Mix the first four drugs in the water and boil twenty 
minutes; remove and filter; then add the glycerine and 
caramel.* 

Sig. One teaspoonful every two hours in water. 



ALCOHOL AND DRUG HABIT. 59 



FOR ALCOHOLIC GASTRITIS. 



1J Pepsin sacch I dr. 

Bismuth sub-nit I dr. 

Powd. capsicum 20 gr. 

Mix. Ft. powders XXX. Sig. A powder every three 
or four hours. 



FOR NEURASTHENIA. 



I£ Tr. cinchona rub 2 oz. 

F. E. kola 2 oz. 

F. E. Scutellaria 1 oz. 

Elix. aromatic q. s. ad. 6 oz. 

Mix. Sig. On teaspoonful in water four times a day. 



THE TOBACCO TREATMENT. 



IJ F. E. calumba ^ oz. 

Tr. quassia Yi oz. 

Alcohol y 2 oz. 

Aqua q. s. ad. 4 oz. 

The hypodermic treatment consists of injections from 
solution "T" four times a day, and an occasional injection 
from solution "P," or if the "sickening process" is re- 
quired, from solution "A P." 



60 ALCOHOL AND DRUG HABIT. 



DR. GRAY'S TREATMENT. 



Dr. J. L. Gray, of Indiana, was among the first to use 
the so-called "Gold Cure" for the alcohol habit, and his 
method was made publicly known through Prof. Edmond 
Andrews, of Chicago, who published an article on it in 
one of the Chicago papers. The treatment given was as 
follows : On entering the institute the patient was given 
a hypodermic injection four times a day, containing one- 
tenth grain of chloride of gold and sodium, and one- 
fortieth of a grain of nitrate of strychnine. He also re- 
ceived a mixture to be taken by the mouth composed as 
follows : 

IJ Chloride of gold and sodium 12 gr. 

Muriate of ammonium 6 gr. 

Nitrate of strychnine 1 gr. 

Atropine ^4 g r - 

Comp. fl. ex. of cinchona 8 oz. 

Fl. ex. of coca 1 oz. 

Glycerine 1 oz. 

Aqua des 1 oz. 

Mix. Sig. Take a teaspoonful every hour when 
awake. 

I have used this treatment on several cases and find 
it is an excellent one, but do not believe that it is 
necessary to give such large doses of gold and sodium 
and strychnine, as they cause the muscles to twitch and 
an eruption to break out on the skin in many cases. 



CANCER. 61 



THE CANCER SPECIALIST. 



Surgeons, as a rule, regard the knife as the only 
effective means of removing tumors and cancerous 
growths, consequently, in systematic treatises very little 
is said concerning other means for their removal; and 
what is said is often in condemnation of them as useless, 
if not pernicious. This indifference, neglect and perhaps 
prejudice on the part of surgical teachers has opened a 
field for the cancer specialist who can remove these 
growths without the use of the knife. 

I have had the pleasure of visiting several of their in- 
stitutes, and I find them enjoying a very remunerative 
practice. I consider their methods of treatment far more 
successful and desirable than those of the surgeon who 
depends upon the knife exclusively. 

It may be laid down as almost a positive result of 
surgical practice that a cancer extirpated with the knife 
returns sooner than one removed by the caustic treat- 
ment. The separation attendant upon the latter, seems 
to remove the remaining cancer cells, while excision 
leaves them to begin anew their destructive proliferation. 
We therefore find that the principal objection to the knife 
in removing malignant growths is, that no surgeon in the 
world, no matter how skillful he may be, is able to dis- 
tinguish the healthy from the diseased tissue, and after 
he feels that he has thoroughly removed every trace of 
the difficulty, some diseased cells may be left behind, and 
the growth will again develop. 

From a therapeutical standpoint, there have been 
three methods devised for destroying these growths. 



62 CANCER. 

First, by local external applications; second, by hypo- 
dermic injections into the substance of the growth ; and 
third, by internal treatment. While the two latter 
methods are not practical, the former, in my opinion, is 
the treatment par excellence for all superficial malignant 
growths. I have had quite an extensive experience in the 
use of the caustic treatment and in this chapter I wish 
to disclose the methods which were used by myself, and 
which are identical with those used with success in most 
of the cancer institutes. Before discussing the treatment, 
I wish to outline in brief the characteristics of the dif- 
ferent forms of malignant tumors, which may be of some 
assistance to you in forming a diagnosis. 



SARCOMA. 



Definition. A malignant growth composed almost en- 
tirely of cells, which have their origin in those of the con- 
nective tissues and which are embryonic in character. 

Character and Growth. The connective tissues are 
always the starting point of sarcoma. The cell elements 
are either round, spindle-celled, or in large, plate-like 
forms, and may exist either separately or in conjunction 
in the same tumor. External injury or local irritation 
seems in many instances to be the cause of the growth, 
but in others there is no evident cause. It may occur at 
any age, but is most common between the ages of twenty 
and forty. It begins as a single nodule, or several may 
commence at the same time, and it grows rapidly. After 
a time the neighboring glands become the seat of dis- 
ease, the primary tumor ulcerates, and with the advent of 
ulceration the growth increases rapidly, the system be- 
comes infected, and death supervenes. Sometimes the 
most distant organs, for example, the lungs or the liver, 
may be involved, without the intervening lymphatics be- 
ing affected. 



CANCER. 



63 



Diagnostic Features. Always begins in the connective 
tissues, is most common in the skin, periosteum and bone, 
infrequent in secreting and glandular organs. Differs in 
feel according as it occurs in hard or soft tissue. In 
the former it may be firm, tense and elastic, but is gener- 
ally soft and fluctuating. May occur at any age, but is 
most common between twenty and forty. Growth is 
generally rapid and may attain a large size. Ulceration 
is usually present, but does not take place until late in 




Sarcomas— Supposed to have their origin in the periosteum of the 
interior maxillary bone. 

life of the disease. Little pain until ulceration occurs. 
The subcutaneous veins are only slightly enlarged. The 
contiguous lymphatics become infected with the disease, 
but not until late in its progress. Unless thoroughly re- 
moved the tumor usually recurs and in the locality from 
which it was removed. The microscope shows the tumor 
to be composed of a mass of connective tissues without 
alveolar arrangement. 

Prognosis. Is never favorable unless the growth is 
promptly removed by the caustic treatment. If allowed 
to run their course they terminate in death in six months, 
while others may continue for several years. 



64 CANCER. 

SCIRRHUS. 



Definition. A malignant growth, composed of fibrous 
tissue and undeveloped epithelial tissue, known also as 
atrophying cancer, and stone cancer. 

Character and Growth. Cause cannot always be de- 
termined. Frequently follows injury. Attacks in most 
cases the liver, uterus, or breasts. In the latter organs 
is more frequently found than all other forms of tumors. 
Is very rare before the fortieth year of age. Commences 
as a firm, hard, dense nodule under the skin, being at 
first easily movable. As it grows it contracts adhesions 
to the surrounding parts, becomes firmly fixed and is the 
seat of sharp, lancinating pains. As the disease pro- 
gresses, the integument becomes infiltrated, hard, livid, 
and traversed by numerous blood-vessels. The glands 
in the immediate neighborhood take on the cancerous 
disease, the tumor ulcerates, the whole system becomes 
depraved and the patient dies. 

Diagnostic Features. Seldom occurs before the 
fortieth year. Most common of all tumors of the breast 
at that age. Is uniformly hard. Grows slowly com- 
pared with other epithelial tumors. Early becomes 
anchored to the skin and surrounding tissue. Does not 
attain a large size. Sharp shooting pains. In the breast 
the nipple is retracted. The superficial veins are but 
slightly enlarged. Ulceration in about one year. The 
edges are steep and abrupt, and the discharge is very 
offensive. The neighboring lymphatic glands are early 
affected with similar disease. There is a marked consti- 
tutional involvement. The microscope shows small 
round cells with little pits or depressions, surrounded by 
a fibrous stroma. 

Prognosis. Invariably bad. Case usually terminates 
fatally in from two to four years, unless thoroughly re- 
moved by proper treatment. 



CANCKR. 65 



ENCEPHALOMA. 



Dentition. A malignant growth containing less 
fibrous tissue than scirrhus, but a greater quantity of 
epithelial cells. Known also as the soft cancer, the cere- 
briform cancer, rose cancer, fungus nematodes. 

Character and Growth. Is most common in the bones, 
the testicle, the eye, the lymphatic glands, mammae, 
uterus and liver. It may attack any portion of the body 
and occur at any age. It is almost the only form of 
cancer that occurs in childhood. It may begin as a single 
nodule, or many nodules may appear simultaneously. 
Being an extremely vascular structure it grows with 
great rapidity, and often attains a large size in a short 
period of time. It is usually soft and fluctuating, and 
being easily compressed is modified much in form by the 
tissues surrounding it. Is peculiarly liable to extend into 
the muscular and other interspaces, acquiring deep- 
seated connections and surrounding important organs. 
At a period varying from a few months to a year and a 
half, ulceration takes place, a foul ulcer is formed, the 
lymphatic glands become affected, and the whole system 
becomes diseased. The disease may terminate by ex- 
hausting the strength of the patient or by the destruc- 
tion of some important organ. 

Diagnostic Features. Occurs at all periods of life. 
Soft, elastic and lobulated. Grows rapidly and attains a 
large size. Pain dull and heavy; not pronounced until 
ulceration takes place. Superficial veins early enlarged. 
Ulcerates readily. The ulcer has undermined edges. 
The lymphatics are early involved, and the constitutional 
symptoms pronounced. Microscopic appearances sim- 
ilar to those of scirrhus. 

Prognosis. Very grave. Terminates fatally in from 
eight months to two years, unless thoroughly removed in 
the early stages. 

[5] 



66 



CANCER. 



EPITHELIOMA. 

Definition. A malignant growth, developed from the 
squamous epithelium. Comprises the malignant dis- 
eases of skin and mucous tissue. 




EPITHELIOMAS OF THE FACE. 



Character and Growth. Most frequent locality is the 
lower lip, but it is often found in the tongue, cervix, 
uteri, face, anus, vagina, penis and scrotum. It beginb 
usually in the skin or mucous membrane, but by exten- 




EPITHELIOMAS OF LOWER LIP. 



sion may occupy any tissue, bone, muscle or cartilage. 
Occurs most frequently after the fortieth year. Long- 
continued irritations is the most common cause. It be- 



CANCER. 67 

gins early as a crack, tubercle, wart, or incrustation, and 
extends with the progress of the induration. Lymphatic 
involvement occurs, but not until the disease has made 
considerable progress. The extension of disease, except 
in epithelioma of the tongue is not rapid, many years 
oftimes elapsing before its termination. 

Diagnostic Features. Situated at the junction of the 
skin and mucous membrane or upon either of these 
structures. Originates in a crack, fissure or wart-like 
excrescence. Has an indurated base. Slow growth. Ac- 
companied by similar disease in neighboring glands, and 
eventually by constitutional disease. Microscope shows 
squamous-celled epithelium with the characteristic al- 
veolar arrangement. 

Prognosis. Very grave. When the tongue is affected 
terminates fatally in from six to eighteen months, in the 
lip and upper jaw, may exist for years. Free and early 
removal is followed by permanent cure. 



COLLOMA. 



Definition. A malignant growth resembling structur- 
ally the encephaloma, but containing beside a quantity of 
clear colloid material. Known as gelatiform cancer. 

Character and Growth. Is found most frequently in 
the omentum, stomach, ovary, rectum and bones of the 
extremities. It may occur as an infiltration, its most 
common form, taking on the shape of the organ in which 
it is situated, or it may grow as a pronounced tumor. Its 
general history is similar to that of encephaloma, except 
that it rarely occurs in childhood, grows somewhat more 
slowly, and does not so readily involve lymphatic glands. 

Diagnostic Features. Is difficult to distinguish, previ- 
ous to removal from other forms of carcinoma. Is often 
situated in the abdominal cavity. Grows slowly. Upon 
section, clear, gelatinous substance is found in abund- 
ance. 

Prognosis. Grave. Usually terminates in death in 
a short time if allowed to run its course. 



68 



CANCER. 

MELANOMA. 



Definition. A malignant growth resembling enceph- 
aloma, but containing in addition a large amount of black 
pigment. Known as black cancer. 




Character and 
the eye and skin. 



ENCEPHALO-MELANOMA. 

Growth. Occurs most commonly in 
In all the main facts of its history it 



CANCER. 69 

is in close conformity to the encephaloid cancer, but is 
particularly noticeable on account of the pigment which 
marks it in varying shades from iron gray to deep black. 
This coloring matter is similar to that which is found in 
the choroid membrane, and the rete-mucosum of colored 
skins. The cancer is very apt to begin in or underneath 
a pigmentary mole. Although popularly believed to be 
excessively malignant, its' rate of progress differs but 
little from the ordinary encephaloid cancer. 

Diagnostic Features. Has the same general character- 
istics as the encephaloma, except that it is marked by an 
excess of pigment. 

Prognosis. Grave. Terminates in death in a short 
time, unless early removed. 



THE TREATMENT OF TUMORS. 



Must necessarily be divided into two methods, viz: 
The knife and the caustic treatment. For all tumors of a 
benign nature, whether internal or external, I would 
recommend a thorough dissection with the knife, as it 
will not leave as large a scar, and can be done more 
quickly, and causes less suffering, making use of either a 
local or a general anaesthetic. 

If the tumors are no larger than a hen's egg, I have 
frequently removed them without any suffering what- 
ever, by injecting cocaine as given in the Obtundent 
formulas on another page. 

The injection should be made around the borders of 
the tumor, rather than into its center. There are also a 
few well-selected cases of malignant growths that can 
be removed by the knife in this way, but as a general 
practice, the caustic treatment is the best. On the other 
hand, there are tumors of a harmless nature which may 
be removed with the caustic treatment if preferred. 



70 CANCER. 

People usually have a perfect horror of the knife' and 
the surgeon who will remove their unwelcome visitors 
without its use, is the one they seek for relief, and he is 
the one to judge of the best method of treatment. 



INTERNAL TREATMENT. 



There have been many internal remedies highly 
lauded from time to time as a cure for cancer, but I be- 
lieve that nearly every physician will agree with me that 
their use will be attended with more of a psychic effect 
than one of any real curative value. 

Lassar stands almost alone in the belief that the 
iodide of arsenic, given internally, has an influence in 
curing carcinomatous formations. 

Denissenko recently reported good results from the 
use of chelidonium majiis as a constitutional and local 
remedy. But the good results that he seemed to have 
at first, have later failed both in his and in other hands, 
although this remedy does seem to have some deterrent 
action upon epithelial cell-growth. 

Conium and phytolacca have been advocated at dif- 
ferent times, but have fallen into disuse. 



CAUSTIC REMEDIES. 



The local remedies used for destroying these growths 
are numerous. Nitric acid, sulphuric acid, lactic acid and 
pyrogallic acid have all been advocated, but are of very 
little use. Nitrate of silver has also been used, but its 
action is too superficial to be practical. Caustic potash 
is another remedy worth mentioning, but its action has a 
tendency to destroy too much healthy tissue. In my 
opinion, there are only three remedies worthy of men- 



CANCER. 71 

tion in the removal of cancers by the caustic method of 
treatment, viz: Salicylic acid, chloride of zinc and 
arsenic. 

Salicylic acid has only a limited action, but, often- 
times it is a valuable one, as this agent may be used 
to good advantage in softening and removing the super- 
ficial layers of epithelium and preparing the way for 
other caustics, as will be mentioned later. 

Chloride of zinc is perhaps the oldest caustic used in 
the local treatment of cancer, and has formerly entered 
largely into the "plasters" of the older cancer specialists. 
Its action is very effective, but causes considerable pain. 
It establishes an aseptic slough and thus avoids any 
hemorrhage or constitutional poisoning. I have removed 
several growths by its use and have found it very satis- 
factory. 



ARSENIC. 



Dr. Marsden, the surgeon-in-chief of the London 
Cancer Hospital, was among the first to bring the use of 
arsenic into prominence as a caustic for cancer. He has 
used it in over six thousand cases with phenomenal suc- 
cess, and arsenic stands today the banner remedy in the 
local treatment of all forms of cancer. This remedy has 
many advantages over any other caustic. It can be used 
with less pain, and seems to produce just the degree of 
sloughing required to destroy the growth, whether super- 
ficial or deep-seated. It is rather select in its action, as 
it destroys only the diseased tissue and does not damage 
the healthy structures or through absorption cause 
arsenical poisoning, even if used over large surfaces. It 
removes every particle of the growth, and does not leave 
any cancer-cells to develop again. It does not leave an 
ugly-looking scar, as do other caustics. The deformity is 
very slight, even if the growth has been of large size. 



72 CANCER. 

Dr. Marsden's original paste was two drachms of 
arsenic and one of powdered acacia, but I prefer the ad- 
dition of cocaine, which lessens the pain, as used by Prof. 
John A. Wyeth, M. D., in the following formula: 

5 Acid arcenious 2 dr. 

Powdered acacia 1 dr. 

Cocaine muriate 5 to 20 gr. 

Aqua q. s. 

Mix the first three ingredients and add just enough 
water to make the paste the consistency of cream. The 
paste should always be prepared fresh before each ap- 
plication. 



THE METHOD OF APPLYING. 



I always begin the treatment of cancer by taking a 
piece of isinglass plaster and placing it over the parts to 
be removed. I then take a lead pencil and mark a line 
around the growth about one-quarter of an inch from the 
diseased margin. I now cut the center out of the isinglass 
plaster and dampen the piece which has a hole in the 
center and place it on the healthy parts which surround 
the growth. We have now outlined the exact tissue to 
be removed and the plaster will protect the healthy 
parts. 

The skin or outer integument should now be removed 
either by curetting, with the use of a local anaesthetic, or 
by the use of salicylic acid as mentioned before. Now 
you have an abraded surface on which to apply your 
plaster. 

The paste should now be prepared and spread on the 
piece of isinglass plaster you cut out, which is the exact 
size of the cancer to be removed, and applied to the 
growth, over which you can dress with absorbent cotton 
and bandages. This should be allowed to remain in situ 
from twenty-foUr to forty-eight hours, as long as the 



CANCER. 



73 



patient can stand the pain. His suffering may be re- 
lieved, however, by the use of morphine hypodermically. 
When the time comes to remove the plaster, you will 
find a black necrossed mass. You should now apply a 
flaxseed poultice until the slough separates, and the can- 
cer comes away in one body. If you have any reason to 
believe that every particle has not been destroyed, you 




The above picture illustrates the action of Marsden's Paste in removing 
cancers.- This growth was removed with two appli- 
cations of the paste. 

may apply another plaster, but if, in your opinion, the 
operation has been complete, apply iodoform ointment 
and a simple dressing and allow it to heal. 

You will find that the plaster will cause extensive 
swelling. If on the face, the eyes may be swollen shut, 
but this will gradually subside and cause no trouble. You 
should always advise the patient that he may expect 
some swelling. Much caution must be exercised in ap- 
plying this treatment around the lips and other mucous 
surfaces, and the parts must be protected, so that the 
patient will not swallow any of the paste, resulting in 
arsenical poisoning. 



74 CANCER. 

This method of treatment may be used in all cases in 
which the cancerous tumor is not over four inches in 
diameter. If the growth is larger than that, apply to one 
side first and after that has been removed, apply the 
treatment to the other side. 

Although this is the best and most generally accepted 
treatment which is used by cancer specialists, I will add 
several formulas which have also been used with a 
greater or less degree of success, and have formerly made 
a reputation for their originators. 



DR. LANDOLFFS CANCER PASTE. 



This practitioner obtained a wide celebrity throughout 
Italy by the use of a preparation which he claimed to be 
a specific cure for cancer, providing that the growth was 
accessible, and that the system was not already too deep- 
ly implicated in the cancerous cachexia. The formula he 
usually employed, although it differed somewhat in the 
relative proportion of the ingredients, was the following: 

^ Zinci chloridi I dr. 

Auri chloridi • I dr. 

Antimonii chloridi I dr. 

Brominii chloridi I dr. 

Farinae and aqua. .q. s. to form a thick paste. 

To be applied on small portions of linen to the ulcer- 
ated surface. 

The essential element he regarded was the chloride of 
bromine, the quantity of which he often increased to two 
or three drachms. The chloride of zinc was used chiefly 
for its hemostatic qualities, and he increased this in- 
gredient when there was a marked tendency to hemor- 
rhage. The pain of the application is considerable, and 
must be allayed by opiates. The application need not re- 



CANCER. 75 

main on more than twenty hours, and may then be re- 
placed by an emollient cataplasm. About the eighth day 
the eschar should become detached and leave a heaithy 
granulating surface. If any points remain of less satis- 
factory appearance, or still presenting cancerous ulcera- 
tions ,a little of the caustic paste is again to be applied. 
Dr. Landolfi believed it best, though not in all cases 
indispensible, to administer the chloride of bromine in- 
ternally in doses of one-tenth or one-twelfth of a drop, in 
pill form, twice a day, for from three to six months. 



BOUGARD'S PASTE. 



Hydrarg. chlor. cor I part. 

Acid arseniosi 2 parts. 

Hydrarg. sulphuret. rub 10 parts. 

Ammonium mur 10 parts. 

Farini trit 120 parts. 

Amyli 120 parts. 

Zinc chlorid. crys. 120 parts. 



CERNY AND TRUNECEK'S TREATMENT. 



^ Acid arseniosi 1 part. 

Spts. vini. rect 75 parts. 

Aqua des 75 parts. 

Mix, spread over the parts each day with a brush, 
until the entire cancer has sloughed off. 



COSME'S PASTE. 



The following is the formula of Cosme's Paste as mod- 
ified by Herba: 

1$ Acid, arseniosi 1 part. 

Hydrarg. sulphuret rub 1 part. 

Ungt. aq. rosae 40 parts. 



76 CANCER. 



WHEELER'S PASTE. 



^ Acid arseniosi I part. 

Morph. sulphate I part. 

Calomel 8 parts. 

Pulv. acacia 48 parts. 



HUE'S TREATMENT. 



Dr. Hue uses the following formula hypodermically : 

I£ Acid arseniosi 1 part. 

Cocaine hydro 5 parts. 

Aqua Des 500 parts. 

Mix, inject into the substance of the cancer every few 
days. This treatment he employed in the treatment of 
internal cancers, where it seemed impossible to apply the 
plaster. 



DAVISSON'S CANCER REMEDY. 



For several years a man named Davisson resided 
near Lake Zurich, 111., who established quite a reputation 
as a cancer specialist. The following formula is said to 
be the correct recipe for his plaster: 

IJ Rochelle salts . . . . 1 oz. 

Sulphur 1 oz. 

Sulp. zinc 1 oz. 

Arsenious acid 1 oz. 



CANCER. 



77 



DR. FELL'S CANCER PASTE. 



This is one of the oldest cancer remedies and was suc- 
cessfully used three-quarters of a century ago. The 













^^\ 


. .,-;; 


wt 


- 


^SSl 


Ml €¥% 


WJ$ 






_ j -rltfM 






^b ^^H Dfak 















The above cancer was removed with Dr. Fell's Cancer Paste, and 
illustrates before and one month after treatment. 

author has used this paste several times with excellent 
success. The formula is as follows : 

IJ Zinc chloride I dr. 

Pulv. sanguinar. rad I dr. 

Flour and aqua q. s. to form paste. 



KLINE'S PAINLESS CANCER PASTE. 



If White wax I oz. 

Fir. balsam 2 oz. 

Chromic acid 1 oz. 



78 CANCER. 

Melt the wax and the balsam together, and add the 
acid slowly, stirring while cooling. Remove the cuticle 
by blistering if necessary, and apply the plaster, spread 
upon thin muslin. When a sufficient depth of tissue has 
been destroyed, slough out with poultices if necessary. 



OZONE CANCER PLASTER. 



A physician recently canvassed this country, selling a 
cancer cure under the above name, for the formula of 
which he charged from ten dollars up. Out of curiosity, 
I purchased the formula, which was as follows: 

I£ Zinc chloride y 2 dr. 

Arsenious acid i dr. 

Powdered sanguinaria i dr. 

Flour and water q. s. to make paste. 

In Southern Illinois a cancer cure has been exten- 
sively sold in a similar way, under the name of 



THE HOWARD CANCER CLAY. 



I£ Chloride of zinc I dr. 

Powdered blood root I dr. 

Pulv. charcoal I dr. 

Aqua q. s. to make a paste. 

While the above formulae possess a certain degree of 
merit it only illustrates "what fools these mortals be," 
who pay from ten to twenty-five or more dollars for a 
name and receive formulae which are the common prop- 
erty of the medical profession. 



CANCER. 79 

FUSCHIUS PASTE. 



3J Arsenious acid I oz. 

Vegetable charcoal i oz. 

Powd. serpentaria i oz. 

Mix. Make into a thick paste with water and apply. 



GUY'S ARCANUM. 



This formula was held a secret for many years 

3J Acid arsenious I dr. 

Powd. sulphur I dr. 

Peucedanum off I dr. 

Ranunculus sylvestris I dr. 

Mix. Make into paste with water. 



ESMARCK'S PASTE. 



Acid arsenious I dr. 

Morphine sulphate I dr. 

Mercurous chloride, mild I oz. 

Powd. acacia 6 dr. 

Aqua enough to make paste. 



HEBRA'S PASTE. 



1J Acid arsenious I dr. 

Mercuric sulphide, red 3 dr. 

Vaseline 3 oz. 



80 CANCER. 



SHERMAN'S PASTE. 



1$ Zinc chloride 5 gr. 

Alum 5 gr. 

Acid Tannic 2 gr. 

Persulphate of iron 3 gr. 

Glycerine q. s. to make paste. 



LASSAR'S PASTE. 



I£ Acid salicylic 10 gr. 

Powd. starch 2 dr. 

Zinc oxide 2 dr. 

Lard 4 dr. 



DR. LUTTERLOH'S PASTE. 



1$ Sanguarinaria pulv 1 part. 

Galangal pulv 3 parts. 

Zinc chloride q. s. to make paste. 

There are several other formulae of cancer plasters 
which could be added, but it would only be a repetition 
of those already given, somewhat modified, and by pub- 
lishing them would not offer a means of broadening our 
knowledge on the subject, as what has been said will al- 
low you to treat cancers as successfully as any specialist 
who holds his methods a secret. 



RECTUM. 81 



THE 
RECTAL SPECIALIST 



Most practitioners have greatly neglected the treat- 
ment of diseases of the rectum, and like many other 
things, it has been rather a green pasture for the special- 
ist. Although diseases of this organ have existed for 
centuries, the medical profession has been slow to recog- 
nize the different pathological conditions which exist, 
and until the invention of the speculum this was one of 
the unexplored parts of our anatomy, but by the use of 
this instrument, the surgeon may now have full access 
to different diseased conditions which exist. Until re- 
cent years rectal operations were considered of so grave 
a character that they could be successfully treated only 
by the regular surgeon, and I have no doubt that the 
treatment of diseases of the rectum would have still re- 
mained exclusively in the hands of surgeons if it had not 
been for the much condemned advertising and itinerant 
rectal specialist, whose visits invited competition and 
compelled local physicians to investigate his methods 
and devote more time to the treatment of rectal diseases. 

The opinions of surgeons differ as to the best method 
of treatment for hemorrhoids. Allingham's ligature 
operation seems to be in general favor with most sur- 
geons, but is considered by Dr. Pratt and others as "un- 
scientific and a relic of past rectal inquisition/' Ailing- 
ham says that the clamp and cautery is six times as fatal 
as the ligature. Others speak of it as being a barbarous 
practice. The Whitehead and American operations are 
too tedious, difficult and bloody for the general prac- 
titioner, and few specialists care to undertake them. 

[6] 



82 RECTUM. 

We now come to the injection method, which has 
seldom met the approval of the regular rectal surgeon; 
on the other hand, he is ever ready to raise the following 
objections: 

First — That it takes too long to effect a cure, owing 
to the fact that only two or three pile tumors can be 
treated at a time. It is quite true that this method takes 
longer, but we find that patients, as a rule, prefer longer 
and gentler methods of treatment to speedy cutting oper- 
ations. 

Second — That the operation is not uniformly success- 
ful. At this point we differ with him, as this method of 
treatment may be used with the same degree of success 
as other operations if the proper fluid is injected and the 
application made in the right place. 

Third — That it cannot be used in external piles. 
This, to a certain extent, is true, although many operators 
are using it with a degree of success. We shall limit its 
application to internal piles and the ligature to the ex- 
ternal. 

Fourth — That it causes excessive sloughing. This is 
a great mistake. If the fluid is properly used, it will not 
cause any more sloughing than the ligature or cautery 
and it is suprising to note that the surgeon who advo- 
cates the cautery and ligature will condemn this method 
because it causes a sloughing of the pile tumor. Tell me 
how their methods cure if it is not by sloughing. That 
is what we make the injections for and the sloughing 
from this method is no greater than from theirs. 

Fifth — That the method is more dangerous than other 
operations. We must admit that when this method of 
treatment was introduced into this country, unfortunate- 
ly, it fell into the hands of not only a few unskillful prac- 
titioners, but also into the hands of some men who were 
entirely destitute of a sound medical knowledge, and out- 
side of what they had learned about treating piles, knew 
nothing of the true and sacred mission of the healing art; 
hence the mortality which followed the operations of 
these men, who would buy some secret method and in- 
discriminately inject their fluids into the walls of the rec- 



RECTUM. 83 

turn, cannot be compared with the careful and judicious 
way the method is being practiced to-day ; but even as it 
was, this method of treatment compares quite favorably 
with other methods. Dr. Andrews has collected reports 
of 3,304 cases with thirteen deaths. This was when the 
method was in its infancy and used by unskilled opera- 
tors, as just mentioned. Allingham reports six deaths 
in 5,863 cases from the use of the ligature. Dr. Matthews 
after successfully using the ligature in over a thousand 
cases reports one death from tetanus, also several alarm- 
ing cases of hemorrhage. 

I am sure that the injection method is as free from 
danger as the cautery, for several cases of excessive 
sloughing and hemorrhage have followed that operation. 
Furthermore, I am satisfied that the injection method of 
treating hemorrhoids, where indicated, is fully as success- 
ful as any operation in use at the present time. With the 
right fluid, skillfully injected, this method may be used 
with uniformly curative results, and is free from all 
danger and practically painless. 

The diseases, of the rectum which the physician is 
called upon to treat are hemorrhoids, fissure, fistula, rec- 
tal ulcer, prolapsus and polypus, and in order that these 
conditions may be successfully treated, it is necessary 
that the operator should have a thorough knowledge of 
the parts. A detailed description of the anatomical, 
hystological and pathological conditions of this organ 
would be rather out of place in this book, but this in- 
formation is accessable to every physician in other works, 
and it will repay him to devote his time in studying them. 



DIAGNOSIS OF RECTAL DISEASES. 



When a patient consults you in regard to any form 
of rectal disease, he will almost invariably tell you that 
he has piles. This is the extent of his knowledge in the 



84 



RECTUM. 



matter. After he has described his ailments as best he 
can, the physician may often determine the nature of his 
disease by carefully questioning him. Pain will, no 
doubt, be the most prominent symptom. The pain from 
a fissure, fistula or hemorrhoids may often be told by its 
character. Is there constipation or diarrhoea? How long 
has his disease been existing? Is there a discharge of 
blood or mucous? Do the bowels protrude during de- 
fecation? Does he have an irritable bladder? etc. After 
you have a history of his case, it is always best to request 
him to submit to a local examination, as this will 
allow you to obtain a more thorough knowledge of his 




The .Brinkerhofl: Speculum. 

case. No patient with an atom of common sense will 
object to this, and by placing the patient on a table, either 
in the Sims or the Lithotomy position, with the aid of a 
good light and the speculum, you can determine the exact 
nature of his trouble. This brings us to the point of 
considering the value of different speculums. For the 
preliminary examination of the rectum and a few minor 
operations I prefer a very small Sims speculum. This 
can be introduced with but little pain and will reveal the 
condition of affairs. For operating by the injection 
method, the Brinkerhoff speculum is, beyond a doubt, 
the best instrument in existence. This speculum is a 
hollow, conical tube, with a slide which can be with, 
drawn, exposing the surface you wish to operate on. It 



RECTUM. 85 

also has the advantage of a reflector in the end which 
throws light on all sides of the tumor. Another good 
feature of this speculum is, that its tubular shape will act 
as a basin to catch any superfluous fluid which may es- 
cape while injecting. In this way you will cauterize only 
the surface of the rectum which has been punctured. 

For dilating and other operative work Pratt's bivalve 
speculum is to be recommended. All speculums should 
be well oiled with vaseline and heated to the temperature 
of the body before introducing them. After learning 
the nature of the diseased condition which exists, we 
will next consider its treatment. 



HEMORRHOIDS. 



These art generally classified as external and internal 
tumors, resulting from a varicose condition of the hemor- 
rhoidal veins or other blood vessels, of the rectum. The 
former have their attachment outside of the external 
sphincter, while the latter have their attachment inside 
the grasp of this muscle, but can be forced down by 
straining if they are of sufficient size. Internal hemor- 
rhoids are covered with mucous membrane and may be 
found of almost any shape, size and color. The color 
will generally indicate whether they are of a venous, 
capillary or arterial origin. Venous hemorrhoids are 
bluish in color unless they are strangulated, when they 
become more purple. Capillary hemorrhoids are of dark 
color. They are not painful, but bleed easily. Arterial 
hemorrhoids are of a brighter red appearance, are irrita- 
ble, and also bleed freely. 

External hemorrhoids are visible to the eye without 
the use of the speculum, and may assume different shapes 
and color. The skin and mucous membrane covering 
external piles is extremely sensitive, while internal piles 
are nearly devoid of sensibility. All forms of piles seem 



86 RECTUM. 

to have a remarkable erectile power, much resembling 
the corpus spongiosum of the penis, and, if handled 
roughly, will become more prominent. This is very ad- 
vantageous to the operator as it brings them into more 
prominence, where they can be easily treated. 



TREATMENT OF HEMORRHOIDS. 



The words knife or surgical operation pierces the ears 
of most patients almost as keenly as the instrument itself, 
and if they are assured that they can be cured without 
pain, detention from business, and cutting operations, 
without endangering their lives, they are sure to favor 
such a procedure. Thuswe find that patientswill submit to 
the injection treatment when they would prolong their 
suffering in silence rather than undergo a surgical opera- 
tion. 

The injection treatment has many advantages other 
than the ones just mentioned, from the physician's point 
of view. The busy general practitioner can not always 
devote the time to learning the technique of cutting 
operations, as it is a well known fact that such operations 
require much skill and practice, and the practitioner who 
sends all his rectal patients to the surgeon, is depriving 
himself of both reputation and revenue which could be 
retained by the use of this method. 

Since the injection treatment has been used, nearly 
every caustic in the vegetable and mineral kingdom has 
been tested, but it is the universal opinion of physicians 
who use this method that carbolic acid, either used single 
or in combination with other remedies, is the best, and 
that better results can be obtained from a forty per cent, 
or stronger solution than from the weaker ones. The 
following formula is the most generally accepted one : 

I£ Carbolic acid 40 parts. 

Olive oil 60 parts. 



RECTUM. 87 

Mix. Sig.— Inject enough of the .fluid to change the 
color of the tumor to a grayish white. The amount of 
the fluid required to accomplish this will depend upon 
the size of the tumor. Small tumors require only from 
one to three minims, while larger ones will require more. 

The hypodermic syringe for hemorrhoidal work 
should have a large piston-head and strong finger-brace. 
The piston stem should be graduated in minims with a 
set-screw. After you determine the amount of fluid a 
pile tumor will require, regulate the set-screw on the 
piston-stem so as to get about the amount of fluid you 
will require for each injection. In this way you can de- 
termine the exact amount of fluid used in each operation. 
The Hypodermic syringe plays quite an important part 
in the different operations mentioned in this book, and we 



■fcMw iiiiiiiii iHnnmp^^^ 



e^ 



GUARDED NEEDLE AND CANTJLA. 



wish it understood that when we use the term minims 
we mean minims as regulated by the piston and set-screw 
of the syringe, and not drops as they are ejected from the 
point of the needle, as there is quite a difference, for five 
graduated minims will be equivalent to nearly fifteen 
drops if a fine needle is used. The hypodermic syringe 
is more thoroughly discussed in the obtundent system of 
painless dentistry on another page to which you are re- 
ferred. 

The needle used for injecting hemorrhoids should be 
of extra length. I prefer a needle with a finer caliber 
than most operators use, as the larger needles have a 
tendency to allow the fluid to escape more freely when it 
is withdrawn, and thus cauterize the healthy walls of the 
rectum. 

Needles for this work should have a set-screw near 
the point, which will prevent you from puncturing the 



88 RECTUM. 

opposite walls of the tumor and injecting the fluid where 
it is not required. If you have a plain needle, you can 
regulate the depth of the injections by putting a very 
small piece of paper on the needle at the distance you 
deem necessary from the point. 



HOW TO OPERATE. 



After you have examined the patient and located the 
piles you wish to treat, the BrinkerhofI speculum should 
be gently introduced and the slide withdrawn, so that the 
tumor will protrude through this opening. This will give 
you full view of the tumor. The patient may be placed 
on either side, or on his back. He should always be 
placed in such a position as to allow the tumor to point 
downward if possible. This has two advantages, first, 
you are not so liable to inject the fluid too near the base 
of the tumor; second, if any fluid should escape when 
you withdraw the needle, it will be caught by the specu- 
lum. There will not be an overflow, however, unless you 
use too large a needle and withdraw it too quickly. 

After you have exposed the tumor to full view, tell 
the patient to strain a little, then take a wire snare, such 
as is used in throat and nose work, and surround the 
tumor you wish to inject. Do not make sufficient ten- 
sion on the snare to cut the tissues, but just enough to 
restrict its base. The needle should now be inserted 
about one-third the distance from the apex. The injec- 
tion should be made as near the center of the tumor as 
possible and forced into the pile a drop at a time. This 
will allow the coagulum to gradually form and avoid 
forcing any of the contents of the tumor back into the 
main blood vessels. If the tumor is an extra large one, 
several injections may be required to thoroughly cauter- 
ize it. The needle should be gently withdrawn and, if 
any blood should follow its withdrawal, it indicates that 



RECTUM. 89 

there has not been enough of the fluid used and the opera- 
tion should be repeated. One who is not accustomed to 
making these injections might think the operation would 
be attended with pain, but such is not generally the case, 
as carbolic acid is a powerful anaesthetic when used in this 
strength. If there should be pain, it generally comes on 
a few hours after the operation, and indicates that the 
injection has been made too near the base of the tumor 
into the deep structure. This should be avoided, as ex- 
tensive ulceration has been attributed to this mistake. 
The tumor should be covered with an ointment com- 
posed of boric acid, two drachms, and vaseline, six 
drachms, and the speculum withdrawn. Not more than 
two small or medium sized, or one large pile tumor 
should be treated at a time and two or three weeks should 
elapse before another treatment. It is always best to 
treat the large tumors first, for as soon as they are re- 
moved, the smaller ones are thrown into better view. 

There are several complications to be considered in 
all rectal operations. Retention of urine may follow an 
operation. This can be relieved. by the catheter or other 
treatments. Constipation is present in a large majority 
of people who are suffering with piles and great care 
should be taken to relieve the patient of this difficulty as 
it has a decided tendency to retard the progress of your 
treatment. Secondary hemorrhage is a complication of 
all rectal operations, but it seldom occurs with the injec- 
tion treatment. If it should occur, the rectum should 
be tamponed above the bleeding point and astringent 
applications made to the bleeding surface. 

Extensive ulceration will not occur unless the injec- 
tions have been made too deep. These ulcerations can 
be treated like other ulcerations of the rectum. 

One of the dangers which has been pointed out by 
surgeons opposed to this method is, that the injection 
fluid might form a thrombus, but I am doubtful if any 
such complication ever occurs. This can be guarded 
against, however, by the use of the circular pressure at 
the base of the tumors with a snare as described before. 
It might be stated that weaker solutions of carbolic acid 



90 



RECTUM. 



would have a tendency to produce this condition more 
than the stronger ones, as the latter make a complete 
coagulum and cauterize the tissues as completely as the 
actual cautery. 



EXTERNAL HEMORRHOIDS. 



There are certain forms of external hemorrhoids that 
can be successfully treated by the injection method. 
These tumors are of recent formation and decidedly 
vesicular. 




PHYSICIANS SUPPLY COMPANY'S RECTAL SET. 

This makes a very convenient set for the Rectal Specialist. It contains four 
metal screw-top bottles for holding medicines, two syringes, one Brinkerhoff 
speculum, one rectal polypus or dressing forceps, one suppositor for ointments, 
one silver probe-pointed canula, one guarded and one plain hypodermic needle. 

Pile tumors which are hard and fibrous should be re- 
moved by excision or the ligature. Many prefer the latter 
because it is practically bloodless. The minute details 
of these operations are given in nearly all works on sur- 



RECTUM. 91 

gery and it will not be necessary to repeat them here, but 
I will give you a brief outline of the operation, which is 
very simple. 

These tumors do not require the use of the speculum 
as they are already exposed to your view. Anaesthetize 
the surface to be operated upon by first saturating a 
piece of absorbent cotton with a ten per cent, solution of 
cocaine, and cover the parts. This is applicable only to 
tumors that are covered with mucus membranes as the 
anaesthetic will have no effect upon the skin. This should 
be allowed to remain about ten minutes. Then inject a 
three per cent, solution of cocaine as given in formula 
No. 3 in the Obtundent formula on another page. These 
injections should be made just under the skin or the 
mucous membrane around the base of the tumor. The 
snare should now be applied at about the place you have 
made the injection, or just a little above, and sufficient 
force used to make circular pressure around the tumor 
without cutting the surface. Now take a knife or a pair 
of fine-pointed scissors and sever the outer integument 
along the line of the snare, being careful not to cut too 
deep. This incision severs the nerves of sensation and 
will lessen the suffering and also hasten the sloughing 
process. The ligature can now be applied to the cut sur- 
face and the tumor strangulated. I generally use two 
silk ligatures and tie several knots in each. This will 
prevent after-hemorrhage. 

After the tumor has been thoroughly ligated, snip off 
a little of the summit of the tumor and dust the parts 
well with antiseptic powder. Apply over this a piece of 
absorbent cotton and a bandage. If the patient suffers 
much pain after the operation, he can be allowed suffi- 
cient morphine to quiet him. 



FISTULA. 



It is claimed by Allingham that two-thirds of the 
rectal operations performed at the St. Mark's Hospital, 
London, were for fistula, but American surgeons find 



92 RECTUM. 

hemorrhoids the most common affection. There are 
several varieties of fistula, generally classed as complete, 
which have an external and an internal opening; internal 
incomplete, which have an internal opening leading to a 
blind pouch which may become a receptacle for foreign 
matter; external incomplete, with an external opening 
only. The complete and external incomplete are very 
easily detected by the eye by their openings. The in- 
ternal incomplete may require the use of the speculum. 

Fistulas are not always attended with severe pain, 
but they give the patient a feeling of uneasiness, owing to 
the discharge from them, which may cause a soreness or 
itching at the anus. 



DIAGNOSIS AND TREATMENT. 



If on examination, we find an external opening, we 
can determine whether or not the fistula is complete by 
inserting a probe into the opening and following the 
point of the probe with the finger in the rectum. If the 
internal opening is a little obscure injections of antisep- 
tic colored water injected into the external opening can 
be seen oozing through the internal orifice. 

After determining the nature of the affection, we can 
apply the treatment we deem required. Most operators 
prefer to treat these affections upon a surgical basis. 
For the details of these operations we refer the reader 
to any text-book on surgery. There are several ways 
in which this ailment can be cured, however, without re- 
sorting to surgery. The oldest of these is the ligature, 
which is said to have been used by Hippocrates. 

This method consists in passing a ligature through 
the sinus into the bowel and tying it outside allowing the 
ligature to gradually cut its way to the external surface. 
The silk ligature was soon replaced by the rubber liga- 
ture as the contraction of the rubber would have a 
tendency to cut through to the surface in less time, gen- 



RECTUM. 93 

erally requiring from five to ten days. If the rubber 
should break or become relaxed, the operation should be 
repeated. Rubber ligatures should never be tied, but 
the ends placed in a small piece of lead and pinched to- 
gether so as to avoid slipping. 

Another way of successfully treating many cases of 
fistula is to first inject peroxide of hydrogen into the 
cavity. After this has thoroughly "boiled out", the pus, 
the interior of the fistulous tract should be scarified by 
passing a probe or a scarifier up and down the canal 
several times; then inject carbolic acid through a silver 
probe canula, commencing at the internal opening. 
Gradually withdraw the probe and press out a drop at a 
time. The finger should now follow the canal and press 
out the excess of acid, if there should be any. This can 
be followed up by an injection, at least once a week, of 
eucalyptol, thoroughly saturating the cavity. Brinker- 
hofr" used the following mixture which he called "Ulcer 
Specific" : 

If Dist. ext. hamamelis 5 dr. 

Liq. ferri. subsulph i dr. 

Acid carbol. cryst . .2 gr. 

Glycerine 2 dr. 

Mix. Sig. Inject ten or fifteen drops deeply into the 
fistula and press the tract of the fistula with the finger 
to force the fluid more deeply in. 

The principal thing to avoid is having the external 
opening heal before the internal. You should always 
keep the external orifice open ; this will allow free drain- 
age for the septic fluids as the healing process should 
start from within and work towards the surface. 



FISSURE. 



Of all diseases of the rectum a fissure is the most pain- 
ful. To the inexperienced, it would seem almost im- 
possible that such an innocent-looking little ulcer could 



94 RECTUM. 

cause so much suffering. It is, however, the cause of 
intolerable pain and gravely disordered reflexes. 

A fissure is simply an ulcerated abrasion of the muco- 
cutaneous membrane which lays bare certain nerve fibers 
which come in contact with foreign matter and produce 
spasmodic contraction and pain of an intense character. 
The treatment of a fissure is the simplest known in sur- 
gery and it can be cured in several ways. Dilating the 
sphincters to the full extent with a Pratt's bivalve specu- 
lum will, in nearly every case, effect a cure. If you 
haven't a speculum at hand, the thumbs of each hand can 
be inserted into the rectum and the same force applied. 
Patients can object to this treatment for no other reason 
except that they should take a general anaesthetic. If 
patients fear this, you can effect a cure by saturating a 
piece of absorbent cotton with a ten per cent, solution of 
cocaine and allow it to remain on the ulcer for five or ten 
minutes, then scarify the surface and apply a solution 
containing equal parts of carbolic acid and glycerine. 
This will convert the ulcer into a simple sore which will 
rapidly heal by keeping it dressed with antiseptic 
powders or ointment. 



RECTAL ULCERS. 



Situated above the anus are not of uncommon oc- 
curence and give rise to many reflex troubles. These 
ulcers may be caused by mechanical injury, as from in- 
troducing the nozzle of a syringe, or by a seed lying in 
the folds of the mucous membrane. They may also re- 
sult from simple inflammatory or specific diseases. 

Ulcers of the rectum are attended with pain and 
tenesmus and a feeling of uneasiness in the lower bowel. 
There may be a discharge of pus, mucous or blood. 
Morning diarrhoea is nearly always present, although in 
some cases the bowels are constipated. 



RECTUM. 95 

If ulceration of the rectum is suspected, the speculum 
should be introduced and the extent and character of the 
ulceration ascertained. If they should be due to syphilis, 
constitutional treatment alone is all that will be required, 
but, if from any other cause, they will require local medi- 
cation, in the form of antiseptics and astringents. 

When ulcers can be outlined through a speculum, 
they may become converted into a simple sore by satur- 
ating the surface with nitrate of silver, seventy grains to 
an ounce of water. This can be applied with a cotton 
pointed applicator or the surface can be anaesthetized 
with a ten per cent, solution of cocaine, then scarified 
and touched with a solution containing one drachm of 
carbolic acid and three drachms of olive oil. These treat- 
ments should be applied by the physician once or twice 
a week. The patient should also be supplied with an 
antiseptic astringent home treatment. The vaginal sup- 
positories as given on another page in the chapter on 
diseases of women, form the best treatment to my knowl- 
edge, and they are used with wonderful curative results 
in all cases of rectal ulcerations and inflammations. The 
patient should insert one of these suppositories up the 
rectum at the ulcerated surface each night before going 
to bed and after the bowels move in the morning. These 
suppositories contain a happy combination of remedies 
which is all that can be desired to promote healing, and 
extensive ulceration will rapidly yield to their use. 



PROLAPSUS OF THE RECTUM. 



This condition is of quite common occurence in chil- 
dren and is also occasionally found in adults and is fre- 
quently associated with hemorrhoids. This protrusion of 
the rectum is generally due to excessive straining at stool, 
or in patients who are paralyzed. The walls of the rec- 
tum can easily be placed in their normal position by lu- 
bricating the forefinger with vaseline and inserting it 



96 RECTUM. 

into the rectum and gently pushing the membrane over 
the finger into the orifice. 

The patient should be supplied with antiseptic and 
astringent treatment such as the vaginal suppository just 
mentioned, and be instructed to avoid straining at stool. 
If the bowels are constipated, treatment should be di- 
rected so as to produce free watery stools without strain- 
ing, If the prolapsus is due to hemorrhoids, they should 
be removed; this will also cure this condition. 



POLYPUS OF THE RECTUM. 

Polypoid tumors are found in the rectum the same as 
on other mucous membranes. The treatment is very 
simple. They may be removed either by injecting the 
same hemorrhoidal fluid as that used for piles into the 
pedicle of the tumor, or they may be ligated at the base 
of the pedicle and the top cut off. They may also be 
removed by the snare, and the pedicle cauterized. Polypi 
have a tendency to bleed quite freely at times and the 
treatment should be directed to avoid this complication. 



PRURITUS. 



This is a very common and troublesome ailment. It 
may be caused from acid, mucous, or purulent discharges 
from the anus. Some physicians believe many cases are 
of a purely parasitic origin. The following formula has 
always been very serviceable in my practice : 

IJ Acid carbolic 20 gr. 

Camphor 20 gr. 

Zinc oxide 15 gr. 

Vaseline 1 oz. 

M. Sig. Apply to the surface two or three times a 
day. 



RECTUM. 97 

The following formulae have been advocated and suc> 
cessfully used by their originators in the hypodermic 
treatment of piles : 



POWELL'S FORMULA. 

^ Acid carbol. (crystals) 2 dr. 

Tinct. thuja 1 dr. 

Aqua dest q. s. ad. 1 oz. 



OVERALL'S FORMULA. 

3J Acid carbol 1 dr. 

Fl. ex. ergot 1 dr. 

Ol. olive 1 dr. 



BRINKERHOFF'S FORMULA. 

^ Carbolic acid 1 oz. 

Olive oil 5 oz. 

Chloride of zinc 8 gr. 

The little pamphlet furnished to the itinerants pur- 
chasing the "System" directs that the amount of injec- 
tion inserted into the tumors shall be as follows : 

Largest piles 8 min. 

Medium piles 4 to 8 min. 

Small piles 2 to 3 min. 

Club-shaped painless piles near orifice2 min. 

"BrinkerhofFs System" forbids the injection of any 
but internal piles. 
[7] 



98 RECTUM. 



RORICK'S FORMULA. 

IJ Carbolic acid 2 dr. 

Glycerine 2 dr. 

Fl. ex. ergot 1 dr. 

Water iVz. dr. 



DR. GREEN'S FORMULA. 

J£ Carbolic acid 1 oz. 

Creosote 10 min. 

Acid hydrocyanic 1 min. 

Olive oil 1 oz. 



DR. SMITH'S FORMULA. 

E Acid carbolic 35 parts. 

Fl. ext. ergot 20 parts. 

Glycerine 30 parts. 

Distilled water 15 parts. 



DR. SHUFORD'S FORMULA. 

^ Sodium biborate 1 dr. 

Acid salicylic 1 dr. 

Glycerine 1 oz. 

Acid carbolic '. 3 dr. 

Mix. Sig. Inject three to five drops in small and 
eight or ten or more in large ones. 



DR. HOYT'S FORMULA. 

^ Acid carbolic 80 min. 

Ext. hamamelis, (Pond's) 6 dr. 

Distilled water ' 6 dr. 



HKRNIA. 99 



THE 
HERNIA SPECIALIST 



The treatment of hernia by the subcutaneous injec- 
tion method was first practiced by Joseph Pancoast, 
M. £)'," of Philadelphia, arid a report of his success was 
published by Dr. Warren, of Boston, in 1867. Afterwards 
Dr. Heaton, also a Boston surgeon, proposed a radical 
cure for "hernia, which had been successfully used by 
himself in a number of cases, by what he called tendinous 
irritation. It is also stated that Dr. Heaton was assisted 
by Dr. Warren in perfecting his method of treatment. 
This method differed somewhat from that of Dr. Pan- 
coast in points of detail and the irritant employed. Al- 
though these surgeons made some remarkable cures, 
they met several cases where disastrous results followed 
the injections and the system was finally abandoned and 
lay dormant for several years. ♦ It was afterwards revived, 
however, and today it is receiving the attention it justly 
merits. 

At the present time, this method of treatment is placed 
upon a sound therapeutical foundation. With the ad- 
vantages of antiseptics, and the present enlightment upon 
the subject, it allows the general practitioner to treat 
these afflictions with a more marked degree of success 
than other means of surgical interference, and avoids the 
dangers which are always connected with surgical opera- 
tions. 

The injection method for the radical cure of hernia 
has only one object in view, which is, to close the canal, 
and thus prevent the descent of the bowels and mem- 
branes. 

L.cfC. 



100 



HERNIA. 



That the injection method offers many advantages 
superior to surgical interference, is beyond a doubt, as it 
is perfectly safe, and nearly free from pain. It will not 
detain the patient from business, and a permanent cure 
can be obtained in fully eighty-five per cent of all cases 
in which it is applicable. 

This method of treatment can be adopted in any case 
of hernia which may be reduced and retained by a suit- 
able truss. This is absolutely necessary to insure good 




'JELCO 



"JHLCO 



results. There are several good trusses on the market. 
The accompanying cuts illustrate the ones which are 
most generally used. 

If the patient should fail to have a properly fitted 
truss, he should be supplied with another. The physi- 
cian should take the measurements and also superintend 
its first application. The patient should wear the truss 
for several days previous to the first operation to make 
sure that it holds the hernia perfectly. In selecting a 
truss, the following rules are to be observed: Never ac- 
cept a truss until you get one which fits properly; try it 



HERNIA. 101 

by putting it on and stooping down and rising up sud- 
denly; cough violently and persistently; separate the 
limbs when sitting down and go through various mo- 
tions. Of course the truss is not a proper fitting one if 
it allows the hernia to slip while going through these 
experiments. 

In wearing a truss, the following precautions must 
always be taken : Never take off a truss unless you are 
in a recumbent position; rub the parts thoroughly when 
putting the truss on. The truss should be removed the 
last thing before retiring, and put on the first thing in 
the morning. In many cases, it is best to wear the truss 
night and day while you are giving the treatment. After 
you are satisfied that the truss is a perfect fit, and it has 
been thoroughly tested, the patient is ready for treat- 
ment. 



THE INJECTION FLUID. 



This is a very important thing to be considered, and 
should consist of such remedies as will create a mild 
irritation without excessive inflammation, and throw out 
sufficient plastic and adhesive material to unite the parts, 
and close the canal. 

Since the discovery of the injection method of treat- 
ing hernia, many remedies have been tried with a view of 
accomplishing this result. Dr. Pancoast commenced the 
treatment by injecting tincture of iodine and cantharides. 
This was followed by Heaton and Warren, by the use 
of quercus alba, which is one of the principal drugs in 
use at the present time. The following formula is an 
excellent one and was sold to an Ohio physician with the 
exclusive right of use for that state for eighteen hundred 
dollars. This offers us another illustration, of what can 
be done by the professional promoter, who has a secret 
system and territorial right for sale. 



102 HERNIA. 

EXCELSIOR HERNIA FLUID. 



I£ Zinc sulphate 10 gr. 

Carbolic acid 6 min. 

Guaiacol (pure) 15 min. 

Thuja (Lloyd's specific tinct.) 1 dr. 

F. E. quercus alba (F. D. & Co.) 2 dr. 

Oil of cinnamon 2 min. 

Glycerine 2 dr. 

Aqua q. s. ad. 1 oz. 

Mix. Dissolve the sulphate of zinc in the water, add 
the glycerine, carbolic acid, oil of cinnamon and guaiacol, 
then, when thoroughly mixed, add the other drugs. This 
should stand for a few days and be shaken frequently and 
finely filtered through absorbent cotton. 

In resuming the therapeutical effects of this formula, 
we have a mild astringent antiseptic and an irritant which 
will abstract from the surrounding tissues sufficient 
plastic material to unite the walls and close the inguinal 
canal. 



DIRECTIONS FOR USING THE FLUID. 



After you are satisfied that the patient has a well- 
fitting truss and one that will hold the rupture under all 
circumstances, you may commence treatment with every 
assurance of success, but if the truss allows the hernia 
to protrude occasionally, you cannot expect to receive 
the results from the treatment which you otherwise 
would. This is a very important thing to be observed, 
for after the treatment has been commenced, the hernia 
should never be allowed to descend, even if the patient 
has to wear the truss day and night. 



HERNIA. 103 

The injections should be made when the patient is in 
a reclining position. The parts should be thoroughly 
washed with some antiseptic solution. The needle and 
syringe should also be clean and aseptic. The best place 
to make the injection is on a surgical chair or table, with 
the head slightly lowered so that the bowels will have a 
tendency to gravitate away from the canal. The hypo- 
dermic needle for this work should be a little longer than 
the ordinary needle. A hypodermic syringe with a glass 
cylinder is all that is required. After drawing the fluid 
into the syringe, the needle should be pointed upwards 
and sufficient pressure made to force all the air out of the 




The above illustrates the method of making the injections. 

syringe. The set screw on the piston should be ad- 
justed to regulate the amount of fluid used at each injec- 
tion, which will vary from two to ten or more minims. I 
generally commence by using two minims and increase 
each injection as the case requires. After the patient has 
been prepared for the operation, the operator, if right 
handed, should take a position at the left side of the pa- 
tient, and with the fore finger of the left hand, invaginate 
the canal to the point of the internal opening. He should 
now grasp the integument with the finger in the canal and 
the thumb on the external surface, and elevate the tissues 
somewhat. This draws the tissues away from the cord 
and avoids any danger of puncturing the contents. The 
needle should now be passed through the tissues directly 



104 HERNIA. 

over the end of the inside ringer until it has reached the 
canal. The canal can be determined by the inside finger, 
which only has the covering of the thin scrotal wall. You 
can generally determine when you have entered the canal 
as the needle meets with little or no resistance and can be 
moved around quite freely. The fluid should now be in- 
jected slowly and deposited at several different places at 
the highest points of the opening. You should always 
avoid making the injection too low in the canal, for if it 
should close the canal too low down, it will prevent in- 
vagination and the application of the treatment at the 
point it is required. After the needle has been with- 
drawn, the point of injection should be gently massaged. 
This will have a tendency to scatter the fluid and cause 
it to cover a greater area. The truss may now be re- 
placed, which gives constant pressure on the parts and 
the patient allowed to go about his business. 

The treatment will cause him but little annoyance. 
The parts treated will have a somewhat uneasy feeling, 
which is due to the mild inflammatory action the injec- 
tion has caused. This will subside in a few days, when 
the treatment should be repeated. The succeeding treat- 
ment should not be applied until the soreness from the 
last treatment has abated. I commence the treatment by 
injecting one or two minims and request the patient to 
call at the office in a few days, or as soon as the soreness 
leaves. At the next treatment the injection is increased 
one or two minims. I always govern the amount of the 
injection by the condition of the patient. The injection 
should never be made as long as there is any inflam- 
matory action existing. As soon as you have determined 
the amount of fluid each case requires to produce the de- 
sired amount of irritation, the following treatments may 
be given in the required amounts, which will vary from 
three to ten minims. The average dose, however, will be 
four or five minims. 

The length of time required to effect a cure depends 
upon the condition of the patient and the size of the open- 
ing. Young and vigorous patients, whose tissues are 



HERNIA. 105 

firm, can be cured more rapidly than older people whose 
tissues are flabby and relaxed. 

After the patient has had several injections, you may 
make a test to find out if the treatment has been success- 
ful. This test should be made in your presence. The 
patient should first be in the recumbent position and be 
instructed to cough. If the hernia has a tendency to com£ 
down, the treatment should be continued, but if sufficient 
adhesions have taken place to retain the bowels, the 
patient may try the same experiment when standing up, 
and the different motions may be gone through as when 
he was testing the truss. The physician should place his 
hand over the parts where the injections were made when 
he is testing the results of the treatment, for if there 
should still be a weakness, the physician can detect the 
vibration. If you are satisfied that the cure has been 
complete, the patient should be instructed to wear the 
truss for another month or so and another test made. If 
all is well, the patient can remove the truss unless he is 
a laboring man and does heavy lifting. If such is the 
case, it is well that he should wear the truss for a while 
when engaged at such work, but finally it may be given 
up altogether. 

Physicians have been rather timid in applying this 
method of treatment for fear they would produce some 
of the bad results that were formerly witnessed before 
the days of antiseptic surgery, but I wish to state that 
this method of treatment is perfectly safe, if a reasonable 
amount of skill is exercised in carrying out the details of 
the operation. I have never seen a case of peritonitis, 
orchitis, abscess or injury to the cord occur. If the in- 
flammation should be a little more extensive than you 
expected, it is due to the use of too much of the fluid. 
This will subside, however, in a few days, and may be 
treated the same as inflammations elsewhere, but rest for 
a day or two is generally all that is required. 

The following formulae have been collected from time 
to time and represent a few of the different treatments 
used by different operators : 



106 HKKNIA. 



HEATON' FLUID. 



This is one of the oldest fluids in use and the original 
way of preparing it is as follows : 

I£ F. Ex. quercus alba (Thayer's) 

prepared in vacuo ^ oz. 

Alcoholic solid Ex. quercus alba 14 gr. 

Morphine ^ gr. 

Mix. Triturate with the aid of gentle heat for a long 
time in a mortar until the solution is as perfect as pos- 
sible. It is well not to exceed this amount of the solid 
extract, else the mixture will be too irritating. Dr. Heaton 
usually prepared a quantity of this mixture sufficient for 
a six months' supply, and was very cautious in using it at 
first, adding a little more of the solid or fluid extract, ac- 
cordingly as he observed that it produced too little or too 
great an effect. The amount of this fluid used at each 
operation is about ten minims. 



DR. FIELD'S FLUID. 



R Zinc sulphate 15 gr. 

Alcohol 2 dr. 

Acid carbolic 30 gr. 

Aqua q. s. ad. 1 oz. 

Mix. Inject from five to ten drops at each operation. 



HERNIA. 107 

DR. PROVOST'S FLUID. 



IJ Guaiacol 30 min. 

Zinc sulpho-carbolate. 10 gr. 

Creasote beechwood 30 min. 

Tannin-glycerite q. s. ad. 1 oz. 

Mix. Reduce from ten to fifty per cent, with alcohol, 
and inject four or five drops, which can gradually be in- 
creased as the case requires. 



DR. SAUNDER'S FLUID. 



1^ Zinc sulphate 2 gr. 

Creasote 2 min. 

Guaiacol 2 min. 

F. E. hamamelis 30 min. 

Glycerine 30 min. 

Mix. Inject two to four minims. 



DR. WALLING'S FLUID. 



This fluid is sold at $2.50 for a two-drachm vial. He 
publishes the following formula, which is so complicated 
that it would require further instructions to properly pre- 
pare it: 

T$> Complex salts of aldehyde 30 per cent. 

Iodo-ethylate of guaiacol 30 per cent. 

Sulpho-tannate of zinc 20 per cent. 

Free guaiacol 5 per cent. 

Beechwood creasote 15 per cent. 

The above formula is a fair example of many of the so- 
called non-secret remedies (?) which are offered physi- 
cians with every intention to deceive them. 



108 HERNIA. 

THE FIDELITY FLUID. 



The following formula has been published as the exact 
formula of the fluid used by this company : 

1$ Carbolic acid 95 per cent. 

Glycerine 

Alcohol a. a. p. e. 

Tinct. iodine q. s. color. 



THE MILLER TREATMENT FOR HERNIA. 



This company used both the hypodermic method of 
treatment and an external astringent. The injection 
fluid was the same as that proposed by Dr. Heaton. The 
external astringent, which was to be applied by the 
patient, was as follows: 

^ Tinct. iodine comp 

Soap liniment a. a. p. e. 



" No present health can health insure 
For yet an hour to come. 
No medicine though it oft may cure 
Can always balk the tomb." 



GENITOURINARY. 



109 



THE 

GENITO-URINARY SPECIALIST. 



Before giving the treatment for genito-urinary and 
female diseases, I wish to direct your attention to an 
instrument which is indispensible to any physician who 
treats these affections. This instrument is known as the 
Universal Applicator and is designed from what was 




UNIVERSAL APPLICATOR WITH ATTACHMENTS. 



I. Movable Guide, for intra-uterine application. 2. Hollow Tube, through 

which treatment or gauze is passed. 3. Finger Brace. 4. Piston 

Head. 5. Detachable Reel, for packing gauze. 

formerly known as Wood's Gauze Packer. It has such a 
wide range of usefulness that its name scarcely de- 
scribes it. 

This simple little instrument may be used to apply 
treatment in powder or bougie form to any cavity or 
canal and is equally useful in applying treatment to the 
nose and throat, rectum, male or female urethra or the 
intra-uterine surface. 



110 GENITOURINARY. 

If offers a means of applying treatment to the pros- 
tatic and other parts of the male urethra, and well fills 
the capacity of a catheter, or it may be used to give a re- 
current douche to the bladder or the intra-uterine sur- 
face. It may also be used as a gauze packer, to apply 
antiseptic dressings or to check hemorrhage in the nose 
or the uterus. In fact its scope of adaptability is greater 
than that of any instrument I have any knowledge of, as 
the illustration will demonstrate. 



DISEASES OF THE PROSTATE GLAND. 



Enlargement and hyperesthesia of the prostate gland 
are extremely common affections and our best authors 
have asserted that fully one-third of all men between the 
ages of thirty-five and sixty have disease or weakness of 
this organ. I will not attempt to give the pathology and 
symptoms of the different diseased conditions which 
exist, as they are familiar to most physicians. I wish 
to describe a special method of treatment, however, 
which has been uniformly successful as a palliative and 
curative treatment in a great number of cases, and will 
yield as good results as many surgicaL and electric meas- 
ures. 

In treating diseases of glandular organs the process 
of cure is naturally slow. This is especially so with the 
prostate gland, the location of which is so relatively in- 
fluenced by external and internal disturbing elements as 
to render an impediment in restoring the diseased organ 
to the normal. 

Its anatomical situation is such that bicycle or horse- 
back riding or sitting in cold, damp places exposes it to 
external detrimental influences, while inflammatory con- 
ditions of the bladder, hyperacidity of the urine and ex- 
cessive sexual indulgence deter the process of cure. 

The treatment for enlarged prostate should consist 



GENITOURINARY. Ill 

of both local and internal medication. The internal 
treatment should consist of such remedies as will render 
the urine somewhat alkaline, allay vesical irritability and 
also have a special effect in controlling the vascular sup- 
ply to the prostate. For such conditions saw palmetto, 
buchu, triticum repens, pichi, oil '»f sandal-wood, uva 




The above drawing illustrates the method of applying medicated bougies 

to the prostatic and other parts of the male urethra. 

i. Medicated bougie. 2. Applicator. 

ursi and eucalyptus may be used with good results. The 
following in tablet form has been particularly service- 
able in my hands. Each tablet contains : 

IJ Boracic acid 2 gr. 

Potassium bicarb 2 gr. 

Ext. buchu 1 gr. 

Ext. triticum 1 gr. 

Ext. corn silk ^2 gr. 

Ext. hydrangea y 2 gr. 

Atropine sul 1-500 gr. 

Sig. a tablet six times a day. 



112 GENITO-URINAKY. 

A combination of bromide of potassium, ergot and 
tincture of gelsemium may be indicated if there is an in- 
creased vascular supply and hyperactivity of the sexual 
system. 

The local treatment should be applied to the pros- 
tatic part of the urethra in the form of a medicated gelatin 
bougie. By the use of the applicator (see cut) the follow- 
ing remedies incorporated in a bougie and used once or 
twice a week are very gratifying to both physician and 
patient: 

I£ Eletarium 1-30 gr. 

Hydrastine *4 g r - 

Cocaine 1-10 gr. 

Ichthyol 2 gr. 

The above remedies act as a sedative and anti- 
phlogistic and although we usually expect only palliative 
results, in many cases of long standing, in other patients 



URETHRAL MEDICATED BOUGIE. 

To be used with Universal Applicator— Seven-eighths size. 

all symptoms of hypertrophy seem to leave and the dif- 
ficulty of expelling the urine and clearing the urethral 
canal are permanently overcome. 



SPERMATORRHOEA. 



There is no other subject in medical literature which 
has been more misused than that of spermatorrhoea. The 
medical profession at large have almost ignored the sub- 
ject, this being perhaps due to the obnoxious literature 
which is supplied to the layman by the advertising physi- 
cian, who attempts to make a large majority of his 
patients believe that they are afflicted with the disease 
and are rapidly going into a decline. This subject has so 
many good talking points regarding the » "sapping of 



GENITOURINARY. 113 

vitality," etc., that any patient who has a slight discharge 
of mucous from the urethra when straining at stool or 
otherwise is advised of the horrors of premature decay, 
associated with this disease. This is the state of mind 
which the so-called quack desires, for the more his 
patient broods over his imaginary spermatorrhcea, the 
more compensatory the case will be and the greater the 
praise when finally cured. 

The facts are that spermatorrhcea is not a very com- 
mon, disease, but when it does exist will often require 
the utmost skill of the physician to effect a cure. The 
anaphrodisiac remedies are the most popular routine 
methods of treatment. The following in tablet form 
taken before retiring has produced good results in de- 
pressing sexual excitability in many cases : 

3J Sodium bromide 5 gr. 

Acetanilid 2 gr. 

Hyoscyamine 1-400 gr. 

Digitalin 1-400 gr. 

As a single internal remedy for nocturnal emissions 
and spermatorrhoea salix nigra heads the list. It should 
be given in thirty-drop doses of the fluid extract before 
going to bed. This remedy acts like magic in many 
cases and should be one of the first to be considered. 

Direct medication to the prostatic urethra and the 
ejaculatory ducts when, judiciously applied offers one of 
the best methods of treatment. The following remedies 
incorporated in a gelatin bougie make an excellent ap- 
plication and this form of treatment has cured many 
cases where other treatments have failed. Each bougie 
contains : 

IJ Ichthyol 5 gr 

Sulphate of zinc 1 gr 

Creasote 1 gr 

Fluid hydrastis 2 gr 

Ext. hyoscyamus 1-10 gr 

Apply by the use of the applicator to the prostatic 
part of the urethra twice a week. 



114 GENITOURINARY. 

A CURE FOR NOCTURNAL EMISSIONS. 

A number of mechanical appliances have been de- 
vised to prevent nocturnal emissions, but one of the best 
is called the "spermatorrhoea ring," which was invented 
by an advertising specialist. This consists of a ring 
which can be applied to the circumference of the penis 
when flaccid. This ring is so arranged that when an 
erection takes place it will inflict punishment by mod- 
erately pricking the organ. The device is applied to the 
organ before going to bed and if an erection takes place 




SPERMATORRHOEA RING. 



during the night it will awaken the patient. He should 
be instructed to temporarily remove the appliance and 
urinate before going asleep again. 

This instrument has a tendency to produce such good 
results that it is seldom given the patient until after the 
advertising specialist has received large revenues from 
other treatments, for he knows very well if he supplies 
this appliance at first his remuneration will be cut short, 
therefore this is given as "the last resort." 



IMPOTENCY. 



It is this disease in particular which has offered both 
the local and mail-order specialist a Mecca to which the 
afflicted may journey, either in person or by letter, more 
than any other. The amount of money spent in adver- 
tising cures for "lost manhood," "premature decay," and 
"general debility," reaches into the millions every year. 



GENITOURINARY. 115 

Although many local specialists have made fortunes, the 
mail order medical companies have taken the lead as far 
as financial success is concerned. One of the principal 
reasons why this, like all other sexual diseases, has 
brought them such a golden harvest is the same old story 
— the fear that their family physician will expose their 
weakness. The following formula combines six of the 
best known aphrodisiacs and, after thoroughly testing 
the merits of this combination of drugs, I can unhesitat- 
ingly recommend it as being a superior treatment. Each 
tablet contains : 

^ Ext. damiana 2 gr. 

Ext. nux vomica % gr. 

Zinc phosphide 1-10 gr. 

Cannabin 1-10 gr. 

Cantharides 1-25 gr. 

Avenine 1-200 gr. 



GONORRHOEA AND GLEET. 

These are among the diseases which these specialists 
are most frequently called upon to treat. The cleanest 
and most efficient way to treat these affections is by the 
use of a medicated urethral bougie. These bougies may 
be inserted by the patient where they will come in con- 
tact with the inflamed surface and gradually melt at the 
temperature of the body and thus offer continuous medi- 
cation. The following formula has always been a favorite 
with me. Each bougie contains : 

I£ Zinc sulphate ^ gr. 

Antipyrine 1 gr. 

Boric acid 2 gr. 

Carbolic acid Y /\ gr. 

Fluid hydrastis 3 gr. 

Morphine sulphate 1-10 gr. 



Insert a bougie three or four times a day after urinat- 



ing. 



116 GENITO-URINARY. 

THE SOLVENT METHOD OF TREATING STRIC- 
TURE. 

This is another method of treatment which originated 
from the irregular practitioner and is extensively used by 
both local and mail-order specialists. I believe that the 
treatment is an exceptionally good one in a large number 
of cases. The following drugs are to be applied to the 
constricted part of the urethra either in the form of a 
bougie or in powder: 

I£ Ext. hyoscyamus 3^ g r - 

Ext. calendula I gr. 

Carica papaya I gr. 

Powd. slippery elm 5 gr. 

The stricture should first be dilated with a sound, 
which can be more easily admitted by first injecting a 
few drops of the fluid extract of hyoscyamus and forcing 
it back to the constricted part with the finger. The 
treatment can now be applied to the parts by the use 
of the applicator. 

This treatment has received the name of solvent from 
the fact that the papaya has to a certain degree the power 
of dissolving or loosening the tissues of the stricture in 
very much the same way that it dissolves a diphtheric 
membrane. The treatment when combined with the 
other remedies is an excellent one and has the indorse- 
ment of the leading members of the medical profession, 
although many of them have attempted to shield the 
formula and sell it for a large consideration. 



VEGETABLE TREATMENT OF SYPHILIS. 



My attention was first called to the vegetable treat- 
ment of this disease by an article written by Dr. J. 
Marion Sims, which contained many astonishing asser- 



GENITOURINARY. 117 

tions and, after using this vegetable alterative in my 
practice in many cases, I am convinced that the pre- 
scription he gave might almost be called a specific, if 
such a thing were possible in the treatment of the dis- 
ease. Although most physicians are familiar with this 
prescription, I think it will be of sufficient interest to 
give you a history of it which dates back from its dis- 
covery among the great medicine men of the Creek In- 
dians, who in early times inhabited middle Georgia. The 
negroes in that vicinity finally adopted the preparation 
and prepared it as given to them by the Indians. Dr. 
Sims' article would be too long to insert here, but Dr. B. 
Rush Jones, brother-in-law of Dr. Sims, gives the fol- 
lowing : 

"A few years before the civil war there were many 
obstinate cases of secondary syphilis around Montgom- 
ery, which had resisted the efforts of the best physicians. 
They went the round of the doctors, and could not be 
cured. One of these was advised to consult an obscure 
negro, by the name of Lawson, who worked on a cotton 
plantation, and after being under his treatment for a 
few weeks was perfectly cured. His recovery was so 
great an event that others applied to this same Lawson, 
and were also cured. 

"Dr. G. W. McDade, hearing of these cases, took a 
great interest in the subject, and visited Lawson and ob- 
tained from him the formula used so successfully. It 
seems that the formula had come down from a mulatto 
slave, by the name of Horace King, who resided among 
the Creek Indians for several years before they removed 
west of the Mississippi river (1837), and had learned 
while with them their method of treating syphilis. 

"Dr. McDade says that instead of adopting the so- 
called Indian remedy as he found it, he began by elimin- 
ating those roots and herbs and inert substances which 
he knew were absolutely of no value. He selected the 
few known to possess medicinal properties, and instead 
of making a decoction, as had been done before, and 
which had to be made in large quantities every day or 
two, he had them prepared in the form of fluid extracts, 



118 GENITOURINARY. 

which placed the remedy on a scientific basis and insured 
uniformity of action. He then gives the formula as fol- 
lows: 

Jy, Fluid ext. of smilax sarsaparilla. . 16 parts. 

Fluid ext. of stillingia sylvatica. . 16 parts. 

Fluid ext. of lappa minor 16 parts. 

Fluid ext. of Phytolacca decandra.16 parts. 

Tinc.of xanthoxylum carolinianium 8 parts. 

Dr. Sims in his article gives many cases which were 
treated by the negro Lawson on the plantation ; he also 
mentions the success Dr. McDade has had with it. Dr. 
B. Rush Jones, of Montgomery, who has been treating 
syphilis for more than 40 years, now says he has but 
little dread of undertaking the worst case since adopting 
this formula. He has repudiated mercury and iodide of 
potash entirely, as he says they are unnecessary when 
this formula is used. 

From the odor and general properties of this com- 
bination we are led to believe it identical in formula with 
the much advertised and secret preparation called S. S. S. 
The printed matter on this latter preparation, which 
states that it has been in use in domestic practice in cer- 
tain parts of middle Georgia ever since the retirement 
of the Creek Indians in that section of the state, does 
much to strengthen our belief. 

A similar preparation, which is known as Succus 
Alterans (McDade formula) is prepared by Eli Lilly & 
Co. T have obtained excellent results from this formula 
in secondary syphilis, scrofula and other blood and skin 
diseases, and believe it to be one of the best alteratives 
obtainable at the present day. 



" The paths of pain are yours 
Go forth ! with patience.' trust and hope 
The sufferings of a sin-sick earth 
Will give you ample scope." 



DISEASES OF WOMEN. 119 



THE 
GYNECOLOGICAL SPECIALIST 



NON-SURGICAL TREATMENT FOR THE DIS- 
EASES OF WOMEN. 



The treatment of the diseases of women has always 
contributed largely toward the yearly income of the 
general practitioner, while the gynaecological specialist 
continues to fatten upon the revenue he receives from 
Operations. When the fashionable period of ovariotomies 
and other operations wears off, and physicians learn to 
apply rational, therapeutical measures, there will be a 
revolution in gynaecological practice. I do not wish to be 
understood as condemning the progress of surgery in 
many cases, but every physician who is familiar with 
hospital and sanitarium practice will attest that many 
organs are removed which might have been restored to 
health by non-surgical means. 

Owing to the prevalence of female diseases, a large 
territory for preparatory remedies is opened, and we find 
lady agents everywhere who are extolling the virtues of 
some secret remedy for the diseases peculiar to their 
sex. Among the prominent preparations may be men- 
tioned : Viavi, Mountain Rose, Nuvita, Orange Blossom, 
Olive Branch, etc. On the other hand we find many 
physicians who use preparations like Micaj ah's Uterine 
Wafers, without knowing the ingredients they contain. 

Regarding the success obtained from the use of these 
preparations I am not able to say, but I do believe that 
every physician is aware of the fact that a large per- 
centage of these cases eventually drift into his hands for 
a more thorough and scientific course of treatment. 



120 DISEASES OF WOMEN. 

From peculiarities of constitution and the duties as- 
signed her by nature, woman is subject to a class of dis- 
eases which entitle her to all that is humane, delicate and 
skillful on the part of the physician, whose duty it be- 
comes to advise and treat her. 

The degree of suffering, physical and mental ; the pain 
and discomfort endured; the disturbing elements in 
social life; the severing of domestic ties, and the propa- 
gation of weakness and disease ; all these have their 
origin in the diseased organs and the perverted use of 
feelings and faculties designed for the creation of the race 
and the happiness and well-being of man-kind. 

The cause of the prevalence of ill-health among 
women may be attributed probably to the various acute 
and chronic diseases to which all mankind are alike 
liable, but in a greater degree to the numerous class of 
ailments peculiar only to the female sex ; and also to the 
fact that women are timid about broaching these sub- 
jects, and from a false modesty often conceal their dis- 
ease, instead of seeking for a means of recovery. Thous- 
ands of women, from a mistaken sense of delicacy, are 
passing the spring-time and summer of their lives in 
silent suffering from disorders they do not understand, 
and know not how to alleviate. 

A modest, sensitive woman often shrinks from con- 
sulting a physician regarding sexual subjects in general, 
and especially so concerning private and special ailments 
of her own generative organs, preferring to suffer in 
silence rather than to expose her weakness ; and the most 
serious results are often attributed to this cause. 

It is this delicacy on her part that has opened a field 
for the various preparations mentioned above. I have 
given the medical treatment of the diseases of women 
much thought and have formulated a system of intra- 
uterine, extra 7 uterine and internal treatment, which as- 
sociate physicians and myself have used in thousands of 
cases with remarkable success, and I believe the con- 
stituents of same will appeal to the judgment of every 
physician in cases in which surgical interference is not 
required. 



DISEASES OF WOMEN. 121 

The conditions in which this method of treatment is 
particularly indicated are amenorrhea, dysmenorrhea, 
menorrhagia, leucorrhcea, ulceration, vaginitis, endo- 
metritis, backache, bearing down pains, irritation of the 
ovaries and bladder, frequent and painful urination, in 
fact all forms of congestion, inflammation or pain in the 
pelvic cavity. 

In devising a treatment for the above conditions there 
are several things which need the physician's attention. 

Upon examination, you will find the uterus enlarged 
and possibly either hard or sleazy in texture. The cir- 
culation is torpid and requires new activity. Such con- 
ditions require the combination of an astringent, an 
antiseptic, a sedative, an analgesic and an absorbent. 
These are all provided in the following formula, which 
may be called the 



EXTRA-UTERINE APPLICATION. 



^ Elaterium % gr. 

Powd. jequirity T /\ gr. 

S. E. belladonna J4 gr. 

S. E. hyoscyamus y 2 gr. 

S. E. hydrastis Yi gr. 

S. E. hamamelis I gr. 

S. E. calendula I gr. 

S. E. thuja I gr. 

Zinc sulphate 2 gr. 

Boric acid 4 gr. 

The above remedies may be incorporated in either 
cocoa butter or in a mixture of glycerine and gelatin. I 
prefer, however, to have them made in tablet form in 
the shape resembling the ordinary suppository. I use 
these applications in large quantities, and have them 
made specially for me with a rapidly disintegrating base. 



122 DISEASES OF WOMEN. 

My attention was first called to elaterium by Dr. 
Gentry, who stated that he had used the remedy in his 
practice for twenty years and argued that if this remedy 
when taken by the stomach will extract serum from the 
alimentary tract and produce profuse watery stools, it 
would extract serum from other mucous surfaces if ap- 
plied locally, and there is no other place where it can be 
applied to as great advantage as in the vagina or uterine 
canal, where it seems to have its greatest curative in- 
fluence in removing congestion, engorgements and im- 
purities from the female p.elvic cavity, that the organs 
may resume their normal condition. Elaterium, alone, 
is rather drastic in its effects and we have, therefore, com- 
bined it with other remedies to control its action, each 
of which has its specific therapeutical value. Jequirity 
resembles somewhat the action of elaterium, but is more 
mild. However, it is a valuable adjuvant. Belladonna 
and hyoscyamus have their antispasmodic and anodyne 
effect, while hydrastis, hamamelis, calendula and thuja 
each have their respective actions as local alteratives, 
antiseptics, styptics and sedatives. The zinc sulphate 
and boric acid are added for their astringent and anti- 
septic properties. 

This formula might be open to criticism as containing 
too many remedies, but I wish to assure you that each 
of them has been added from time to time with a marked 
improvement and it seems to me that it would be im- 
possible to dispense with any one of them. 

There is great satisfaction in recommending and using 
this preparation, for every time it is applied good re- 
sults are seen and felt and, although I do not offer this 
preparation as a panacea, I am convinced that it is far 
superior to any general extra-uterine treatment with 
which I am familiar. And its practical application will 
convince the most skeptical that it has extraordinary ad- 
vantage when judiciously applied. 

This treatment has a wide range of usefulness. By 
inserting a suppository at the mouth of the womb it will 
immediately suppress pain of every character in the 
pelvic cavity and thus cure dysmenorrhea, ovarian irrita- 



DISEASES OF WOMEN. 123 

tion and neuralgia. Although it is not curative in cancer, 
it will abate odor and alleviate the burning and gnawing 
pains. It is almost a specific for irritation of the bladder, 
frequent and painful urination and vaginitis, gonorrhoea, 
etc. 

It is also an excellent treatment for piles if inserted in 
the rectum, where it soothes the congested and inflamed 
surface and heals the ulcers. 

This application may also be depended upon by the 
profession to relieve engorgements, erosions and ulcera- 
tions and its continual use will control menorrhagia and 
metrorrhagia. It is likewise used to a great advantage 
at the menopause, as it will draw from the uterus the 
accumulation of diseased matter so that it will not enter 
the circulation to cause "hot flushes," etc. Its anti- 
phlogistic and concractile power will readily contract 
the flaccid and loose walls of the vagina, while at the 
same time it exerts a concractile influence upon the tis- 
sues which support the womb and retain that organ in 
its natural position. 



METHOD OF APPLICATION. 



In chronic cases the patient should use a douche of 
warm water before retiring and insert a suppository as 
far as possible up the vagina. This should be allowed 
to remain until the next evening, when the douche 
should be repeated and another suppository applied. 
This treatment should continue for several months in 
obstinate cases to obtain the desired results. 

In other cases in which pain is present and immediate 
results are wanted, as in dysmenorrhcea, piles, trequent 
and painful urination, cancer, etc., the treatment may be 
applied several times a day if required, but the patient 
should be instructed to use a douche of warm or, rather, 
hot water, before each application. 



124 



DISEASES OF WOMEN. 



For the class of patients which every physician meets, 
women and young ladies who are over-modest, bashful, 
timid and diffident, who fear exposure, examination, ex- 




Method of applying and results obtained from Extra-Uterine 
Application. 

pense, and dread the local treatments, this treatment jias 
many advantages, for it is always attended with good re- 
sults, and it may be used by the patient herself at home. 




With many patients, it is absolutely necessary that 
they should submit to an examination and local treat- 
ment in order that you may treat them intelligently and 
with a degree of success that you could not otherwise 



DISEASES OF WOMEN. 125 

obtain without observing the progress of your treatment. 
In many cases intra-uterine treatments are indispensible 
to rapidly effect a cure. This is particularly so in metritis 
and endometritis,' where more favorable results may be 
obtained by direct medication applied to the lining mem- 
branes of the uterus. In these conditions, examination 
will disclose large quantities of mucous oozing from the 
uterine canal ; menstruation is profuse and appears too 
often. ' Whenever this condition exists, I apply an intra- 
uterine bougie, composed of the following remedies : 



INTRA-UTERINE APPLICATION. 



I£ Elaterium 1-16 gr. 

Protargol ^ gr. 

Belladonna *4 g r - 

Resorcine 2 gr. 

Hydrastis 2 gr. 

Ichthyol 3 gr. 

Glycerine and gelatin .q. s. 20 gr. 

These remedies should be incorporated with glycerine 
and gelatine in the form of bougies (see cut), and applied 
to the intra-uterine surface by the use of the universal 
applicator. I formerly inserted the bougie with ordinary 
dressing forceps, but owing to the flexibility of the 
bougies, it always required previous dilation of the 
inner os. This may be avoided by the use of the ap- 
plicator, which will readily pass that constriction and 
give free access to the inner surface of the uterus, as 
shown in the accompanying illustration. 

This method of applying treatment to the inner sur- 
face of the uterus has many advantages over the usual 
method of making medicated applications to that sur- 
face by means of saturated cotton applied with a probe 
or applicator, which often fails in its purpose. 



126 



DISEASES OF WOMEN. 



Prof. P. F. Mundy, M. D., says, "In the vast ma- 
jority of cases with normal canals I really believe that 
the effect of the remedy (when applied with cotton) is 
expended entirely on the mucous lining of the cervical 
canal, and that the endometrium proper is touched 
merely by the albuminous coating of the applicator." 

By using intra-uterine medicated bougies we bring 
the treatment into direct contact with the diseased sur- 




The above illustrates the method of applying the Intra-Uterine Application, 
i. Applicator. 2. Bougie. 3. Shape of Bougie— Seven-eighths size. 



face, where it gradually melts at the temperature of the 
body and offers us through and continuous medication, 
which is prompt and decided in action. 

Internal treatment is of great importance in a large 
number of cases and should be administered in as 
palatable a form as possible. The following tablet is an 
exceptionally good combination of remedies and has been 
of much service to me. Each tablet contains : 

1$ Ext. viburnum prun i gr. 

Ext. virburnum opul I gr. 

Ext. star-grass J^ gr. 

Ext. squaw-vine ^ gr. 

Ext. helonias 3/2 gr. 

Caulophyllin 34 S v - 



Sig. Take a tablet six times a day. 



DISEASES OF WOMEN. 127 

THE COMBINED TREATMENT. 



In the majority of cases I find that the best results 
are obtained from the combined treatment. I have the 
patient visit the office once or twice a week that I may 
apply the intra-uterine medication and watch the 
progress of the treatment. During the interval she is in- 
structed to use an extra-uterine application each night 
before retiring and also to take a tablet internally six 
times a day. For a general treatment of the common 
diseases of women, I doubt if this plan of treatment can 
be excelled, although it may be necessary to modify the 
treatment to meet the requirements of certain cases. It 
effects a cure in many instances in which other means of 
treatment have failed, and it will be found superior to 
the numerous routine methods of treatment now in 
vogue. It will undoubtedly surpass any of the following 
extensively advertised remedies : 



VIA VI TREATMENT. 



This treatment has been extensively advertised and 
sold through agents. The treatment consists of a sup- 
pository and cerate, the latter to be applied externally 
over the womb and ovaries. The suppositories are to be 
inserted each night at the mouth of the womb. They are 
dispensed in two-grain gelatin capsules, filled with 
cocoa butter, in which jequirity is believed to be incor- 
porated. The cerate is sold in oval tin boxes and con- 
tains a cheap oily substance, which becomes rancid in a 
few weeks and looks like a mixture of tallow, lard, boric 
acid and coloring matter. The cerate was, no doubt, de- 
vised for the value which may be derived from the mass- 
age treatment while it Avas being applied. 



128 DISEASES OF WOMEN. 

MOUNTAIN ROSE. 

This remedy is similar to Viavi and is said to have 
been invented by the same Dr. Springsteen. Mountain 
Rose comes in sixteenth-grain round tablets, which are 
applied with a placer. These tablets are said to contain 
jequirity, calendula, hydrastis, boric acid and slippery 
elm. 



ORANGE BLOSSOM. 

This takes the form of a suppository for female dis- 
eases, each suppository weighing about thirty-one grains. 
The New Idea gives the constituents as follows : 

I£ Zinc sulphate I dr. 

Alum 1 5 gr. 

Cocoa butter 3 dr. 

White wax ]/ 2 dr. 

Oil sweet almonds i^ dr. 

Ext. henbane i gr. 

Make suppositories of above weight. 



OZONE UTERINE WAFERS. 

The Boston Journal of Health says that these wafers 
consist of powdered jequirity in capsules. 



MICAJAH'S MEDICATED UTERINE WAFERS. 

The Medical Summary gives the following formula as 
one practically duplicating this preparation, which is so 
extensively used by the medical profession: 

IJ Mercury bichloride 1-16 gr. 

Zinc sulphate 5 gr. 

Bismuth subnitrate 15 gr. 

Acacia 5 gr. 

Carbolic acid 3 gr. 

Water q. s. 



DISEASES OF WOMEN. 129 



IMPOTENCY IN THE FEMALE. 



SEXUAL INDIFFERENCE. 



Although there have been many volumes written on 
impotency in the male, this condition, which is often 
termed sexual anaesthesia, sexual indifference and sexual 
apathy, in the female has received little or no attention 
at the hands of the general practitioner, and like many 
other things, opens the door for a specialist, although 
this may seem an unusual subject of which to make a 
single specialty. I recently met a physician who was 
enjoying an income of several thousand dollars a year 
by operating upon women afflicted with this unfortunate 
condition. 

There is no doubt that our Creator designed the 
organs and functions of women to be as highly and 
sensitively developed as those of men, and the sexual 
embrace should be conducted in a manner mutually 
agreeable to both husband and wife, but it is a well- 
recognized fact that fully ten per cent of women are 
entirely devoid of sexual passions, and in such women, 
intercourse is conducted for the sole gratification of the 
husband. It is also unnecessary to state that this is one 
of the elements which help to fill our courts with divorce 
suits. Women thus affected almost invariably state that 
their sexual condition has caused more shadows and 
domestic disturbances than any other one thing in their 
marital union. Every physicain recognizes the fact that 
the happiest homes are those in which husband and 
wife are sexually mated, and we must also admit that 
the healthy performance of these functions are not only 
conducive to good health, but largely to the development 
of much that is lovable and affectionate in a woman's 
nature. 

[9] 



130 DISEASES OF WOMEN. 

There are two varieties of this condition : First, one 
in which there is no sexual desire whatever, and, second, 
where there is a mild desire, but without gratification. 

The cause of this dormant condition of the female 
sexual organs is to be traced to a number of causes. 
Functional diseases of the ovaries and the womb often 
cause a depression in the sexual instinct, while at the 
change of life and during pregnancy and lactation, this 
function may be suppressed. In other cases, this function 
may have been fully developed and the organ fully or 
partly paralyzed in child-birth or by accident. 

It may also be due to spinal trouble or sexual excess. 
Such cases often experience excitation without gratifica- 
tion or relief. This often leads to mental depression and 
melancholy. The most frequent cause, however, is an 
elongation of the hood and its adherence to the walls 
of the clitoris, completely obliterating that organ. It is 
this condition, principally, that I wish to discuss. 

My attention was first called to this point by the spe- 
cialist mentioned above, w T ho, I have every reason to be- 
lieve, has operated upon thousands of cases. My experi- 
ence will vouch for his success, for I have restored this 
function in fully ninety per cent of all the cases upon 
which I have operated. The operation is very easy and 
consists simply in removing the foreskin from the clitoris 
as follows: Pinch up the foreskin with the thumb and 
finger and inject a few drops of cocaine solution as given 
in the obtundent formulae on another page, and also sat- 
urate a piece of absorbent cotton and allow it to cover the 
clitoris for a few minutes until it is thoroughly 
anaesthetized ; insert a tenaculum through the foreskin 
and lift it upwards, then take the handle of a scalpel and 
break up all adhesions between the clitoris and covering 
membrane and cutting away a V-shaped piece of the fore- 
skin, entirely denuding the clitoris. Unite the two layers 
of membrane by applying a suture on each side of it, 
and one at the apex. Keep the parts separate by placing 
absorbent cotton between them and use the usual anti- 
septic dressings. 



DISEASES OF WOMEN. 131 

The suture may be removed in two or three days. The 
doctor should always provide the patient with an anti- 
septic ointment, containing sufficient tincture of capsicum 
to furnish warmth to the parts, as follows : 

3J Tinct. capsicum 20 min. 

Boracic acid 1 dr. 

Vaseline 1 oz. 

Sig. Apply to the parts four times a day. 

Although this is one of the most simple minor opera- 
tions in the whole category of surgery, it is one of the 
most remunerative, as the patient will not hesitate to pay 
from $25 to $50, and one patient is always likely to send 
another. 

The physician also gives the patient a two months' 
supply of aphrodisiac tablets, as given on another page. 



"Sufferers who long have tossed 

On thorny beds of pain ; 
To recover their vigor lost 

And grow well and strong again." 



132 BEAUTY. 



THE 
BEAUTY SPECIALIST 



The above title describes another type of specialist 
with which every city is familiar. These specialists are 
generally of the feminine gender, and their finely 
furnished parlors are found on every fashionable thor- 
oughfare. As most women are ambitious to become 
handsome, we find these specialists well patronized, and 
"for ways that are dark and tricks that are vain" they 
are unapproachable. 

Georgine Champbaron, of Paris, was among the first 
to establish a reputation with her famous rejuvenating 
treatment. Afterwards Mrs. Harriet Hubbard Ayer 
opened an establishment on Fifth avenue, New York, for 
the purpose of beautifying the complexion of patients. 
From a financial standpoint, her success must have been 
phenomenal, for at the present time, we find temples of 
beauty everywhere, with a presiding princess, who is 
usually a woman past her first youth, hard in feature, 
illiterate to a degree, but seductive in manner and fluent 
in argument. 

These "ladies" generally claim to be philanthropists, 
pure and simple, animated solely by a desire to help their 
less beautiful sisters (at a trifling charge of from fifty to 
three hundred dollars for each case). Their primary 
training as beauty specialists is often obtained at some 
fashionable manicure or hair-dressing establishment, 
where they have acted as an apprentice and learned to 
listen to and sympathize with women who are not blessed 
with good complexions by nature. 

A clever woman at once finds the field a large and 
profitable one, and enters into business on her own re- 
sponsibility, with a few pretty young ladies as her as- 
sistants. 



BEAUTY. 133 

By consulting some recipe book, she finds the 
formulae for the preparations required in her practice, 
places them in fancy bottles and labels them "Creme 
de Beaute of the French Court/' "Helen of Troy Skin 
Rejuvenator," "Circe's Bloom," or "Elixir of Youth/' 
They also have wrinkle-eradicators, hair dyes and 
bleaches, plasters, etc. They have steaming and other 
appliances which impress their patrons favorably. 

A young lady recently delivered herself, into the hands 
of one of these philanthropic "ladies," for the purpose 
of learning their methods, and under her treatment, was 
kneaded, pinched, massaged, greased, steamed, lotioned, 
powdered, painted and elixired during six weary days. 
She claims that she got along with the treatment more 
easily than many others, for as soon as she had retired 
from their apartments, she washed their stuff off, and 
was not self-sacrificing enough to undergo the rejuvenat- 
ing process, for she did not care to submit to the torture, 
and be flayed alive. She describes the process of beauti- 
fying^ as divided into three departments, bleaching, 
steaming and plastering. The almost invariable basis 
of the complexion bleach is corrosive sublimate, the 
action of which is to remove the outer cuticle, leaving 
the smooth, pink underskin exposed. The pain con- 
nected with the use of this preparation varies according 
to the strength in which it is applied, and the delicacy 
of the skin. 

The face-steaming treatment used at these institu- 
tions is too well known to require much description. The 
face is thoroughly greased, and then bathed with medi- 
cated steam. This opens the pores and allows all secre- 
tions to escape, including the natural oil which is abso- 
lutely essential for the nourishment of the skin. The 
great argument in favor of the face-steaming treatment 
is, that it removes all impurities, which is quite true, but 
experience has demonstrated that the continual and ex- 
cessive use of these steaming treatments will weaken 
the secretory glands of the skin, and have a tendency to 
leave it dry by extracting its oil. This, of course, is the 



134 



BEAUTY. 



cause of wrinkles, which no amount of their creams or 
flesh food will repair. 

The most horrible and barbarous of all the com- 
plexion processes is known by the alluring title of "re- 
juvenating treatment," and is guaranteed to make a per- 
son look twenty years younger in a few weeks. This is 
practically a revival of the torture process in vogue in 
France in the fifteenth century, and the suffering which 
it entails varies only in degree. 




A VICTIM OF THE PLASTER TREATMENT. 



Unlike the other treatments given, the skin, in this 
process, is peeled off in strips. The face is first bathed 
with a mixture of iodine (some use the pure tincture). 
Plasters are then applied, which not only loosen the 
skin, but draw out a thick, milky pus. The outer skm 
is finally torn off with the plaster, leaving the half-raw 
and agonizingly sensitive under-cuticle exposed. When 
this surface has entirely healed, the shortest time being 
from four to eight days, the complexion in many cases 
is really marvelously beautiful, although all the lines of 
character have disappeared, leaving the face as expres- 
sionless as that of a doll. 

For weeks afterward, the faintest breath of wind or 
the touch of the softest cloth in bathing the face, causes 



BEAUTY. 135 

the most excruciating pain. In a few months after tak- 
ing this treatment, the sensitive skin commences to show 
thousands of criss-cross lines almost imperceptibe at first, 
but gradually deepening until the face, when viewed 
closely, shows a shrivelled surface somewhat resembling 
that of a peach which has been plucked too soon. In 
connection with the above treatment, these specialists 
often give massage treatments ; bleach, dye and shampoo 
the hair, treat baldness, and remove superfluous hair, 
have remedies for pimples on the face and other skin 
diseases, advertise flesh foods to develop the bust and to 
round out the neck. They also have complexion tablets 
and other beautifying articles. 

Although physicians, as a rule, do not care to assume 
the dignified title of "Beauty Specialists," they are often 
requested to compound toilet preparations for some of 
the above conditions. I, therefore, append some of the 
formulas of their secret preparations, which may be of 
service to them. 



THE HAIR. 



The people of the Occident have to a certain extent, 
followed the universal custom of those of the orient in 
dyeing and bleaching the hair to hide its grayness or 
to give it a preferred color. Hair dyes are generally of 
two classes, those containing the dye ready formed, and 
those in which it is produced in the hair by some chemical 
process. Some hair-dyes contain substances which in 
their nature are very injurious to the hair, and cause 
baldness. Before dyeing the hair, the oil should be re- 
moved by washing thoroughly with soap and water, and 
the dye applied when nearly dry. The scalp should also 
be protected from staining by a broad, fine-tooth comb. 



136 BEAUTY. 

PERMANGANATE OF POTASSIUM DYE. 



If Permanganate of potassium $y 2 oz. 

Distilled water 2 qt. 

The above combination forms a dark violet solution. 
When this is brought in contact with any organic sub- 
stance like the hair, it rapidly discolors it and imparts a 
brown tint, due to the hydrated oxide of magnesia. 

The hair is washed as stated above, and the dilute 
solution applied with a soft brush. The color is pro- 
duced at once, According to the degree of dilution, this 
innocuous preparation can be made to give any desired 
color from blonde to very dark brown. It is this prepara- 
tion which has recently been extensively used by ladies 
in their latest fad of coloring the hair auburn. Of course 
this preparation and other hair dyes may be used for the 
beard as well as the hair. 



SILVER HAIR DYES. 



This, and similar hair dyes, consists of two prepara- 
tions, preserved in bottles labeled Nos. 1 and 2 ; the latter, 
containing the silver solution, should be kept in a dark, 
amber-colored bottle, as the silver salts are decomposed 
by light. For use, some of the liquid from bottle No. 1 
is poured into a cup, and the hair is moistened with it by 
means of a soft brush. The liquid from bottle No. 2 is 
now poured into another cup and applied with another 
brush. These dyes are prepared in different strengths 
in order to color the hair brown or black. 



BKAUTY. 137 

TO DYE THE HAIR BROWN. 

No. i (in white bottle), 

^ Sulphide of potassium 7 oz. 

Alcohol 1 qt. 

No. 2 (in dark bottle). 

IJ Silver nitrate 4% oz. 

Distilled water 1 qt. 



TO DYE THE HAIR BLACK. 

No. 1 (in white bottle). 

^ Sulphide of potassium y 2 lb. 

Alcohol 1 qt. 

No. 2 (in dark bottle). 

Tfc Silver nitrate 5^2 oz. 

Distilled water 1 qt. 

The sulphide of potassium appears in fragments of a 
liver-brown mass, which readily dissolves in water. The 
solution must be filtered before being poured into the 
bottles as it becomes turbid in the air. Keep in well 
corked bottles. When the two solutions are brought to- 
gether, black sulphide of silver results and darkens the 
hair. After the use of this preparation, a disagreeable 
odor adheres to the hair, which may be readily removed 
by washing. 



TO BLEACH THE HAIR. 

There are several preparations on the market, under 
different names, as Goldine, Auricome, Golden Hair 
Water, etc. These preparations are nothing but per- 
oxide of hydrogen, perfumed. When this is applied to 
the hair as a bleaching agent, it should be diluted and 
the hair deprived of its oil by first washing it with soap 
and water. 



138 BEAUTY. 

TO REMOVE SUPERFLUOUS HAIR. 

All preparations used for this purpose owe their 
activity to calcium sulphide, which has been lauded as 
a perfectly harmless depilatory. This is a great mistake, 
however, as serious results have been recorded through 
its careless application by those who were not familiar 
with its caustic effects. It is, therefore, necessary to pro- 
tect the skin against its action, otherwise superficial 
irritation, or even destruction of the skin may result. 
The following formulae comes from high authority: 

1$ Calcium sulphide 2 oz. 

Sugar i oz. 

Water I oz. 

Starch Powder I oz. 

Oil of lemon 15 gr. 

Oil of peppermint 5 gr. 

The resulting mass must at once be poured into an 
air-tight jar, as the calcium sulphide is decomposed b\ 
the air. When it is to be used, it should be moistened 
with water, and painted on the skin containing the 
superfluous hair. Allow it to remain for thirty or forty 
minutes and remove by washing with water. The action 
of this is like that of all depilatories, only temporary, as 
it does not destroy the hair bulb. 



HAIR SHAMPOO. 



I have found the following formula a very useful one 
for the purpose of removing dandruff, and cleansing the 
scalp : 

^ Aqua ammonia 2 dr. 

Cologne 2 dr. 

Alcohol y 2 pt. 

Aqua . ' . Yz pt. 

Apply about a teaspoonful at a time to the hair, when 
it is dry, and rub thoroughly into the scalp. This makes 



BEAUTY. 139 

a foam which can be washed off with water afterwards. 
The above makes a very pleasant combination, as it 
cleanses and softens the hair at the same time. 



HAIR RESTORATIVE AND GROWER. 

The market is flooded with preparations to stimulate 
the growth of the hair, but unfortunately we are forced 
to admit that the majority of them are of little or no 
value, as we know too little of the natural condition ot 
the growth of the hair to enable us to compound remedies 
which would actually aid the efforts of nature in this 
direction. The following formulae will allow you to be- 
come familiar with many of the preparations extensively 
advertised : 



TANNO-QUININE HAIR RESTORER. 

^ Tincture of cinchona i J^ oz. 

Tincture of nut-galls i J4 oz. 

Carmine 150 gr. 

Oil of neroli . . 75 gr. 

Oil of nut-meg 75 gr. 

Alcohol 3^ oz. 

Rose water 1 qt. 

Orange-flower water 1 qt. 



AYER'S HAIR VIGOR. 

Acetate of lead 3 parts. 

Flowers of sulphur 2 parts. 

Glycerine 14 parts. 

Water 80 parts. 

— (Formula d'Hygiene Populaire.) 



140 BEAUTY. 

ALLEN'S WORLDS HAIR RESTORER. 

I£ Sulphur 6 parts. 

Acetate of lead 8 parts. 

Glycerine ioo parts. 

Perfumed water 200 parts. 

Dissolve the acetate of lead in the water, then add the 
glycerine and sulphur. Any aromatic water may be used 
for making the water. — (American Pharmacist.) 



HALL'S HAIR RENEWER. 

IJ Sulphur 1 dr. 

Lead acetate 1 dr. 

Salt 2 dr. 

Glycerine 8 oz. 

Bay rum 2 oz. 

Jamaica rum 4 oz. 

Water 16 oz. 



BORDET'S HAIR TONIC. 

The American Druggist gives the following for this 
preparation, and it is my opinion that it is much better 
than the lead and sulphur mixtures : 

3J Carbolic acid 30 min. 

Tincture of cardamon 30 min. 

Tincture of nux vomica 2 dr. 

Compound tincture cinchona 1 dr. 

Cologne water 1 dr. 

Cocoanut oil q. s. ad. 4 oz. 



BEAUTY. 141 

SEVEN SUTHERLAND SISTERS' HAIR GROWER. 

IJ Bay rum . . 7 oz. 

Distilled extract of witch hazel 9 oz. 

Common salt • 1 dr. 

Hydrochloric acid (5 per cent.) . '. 1 dr. 

Magnesia q. s. 

Mix the bay rum and distilled extract of witch hazel, 
and shake with a little magnesia ; filter and in the filtrate 
dissolve the salt and add the hydrochloric acid. The 
agitation with magnesia causes the preparation to assume 
a yellow color, but by rendering it very slightly acid, with 
the hydrochloric acid, this color all disappears. — (New 
Idea.) 



TO DEVELOP THE BUST. 

It is very doubtful if there is any one thing other than 
a beautiful complexion that a woman admires more than 
a full, symmetrical bust. This has caused the inventor 
and the specialist to contrive all kinds of devices to assist 
nature in the development of the mammary glands in flat- 
chested women, and we find bust foods and vacuum 
treatments advertised very extensively. 

The vacuum treatment consists of a cup-shaped glass 
(see cut) which will fit around the gland, and when suc- 
tion is made at the apex, either with a rubber bulb or 
pump, it will draw the breast into the cup, where it is 
allowed to remain in this expanded condition during the 
night. 

Bust foods are nothing more or less than lanoline, 
which may be adulterated with lard or cheap oils and 
perfumed. This is rubbed into the breast by a course 
of massage treatment, which occupies from one to two 
hours each evening before retiring. I have never had 
any experience in the use of either of these treatments, 
but the accompanying cut is supposed to represent the 
results obtained from their use. 



142 BEAUTY. 

The Medical World has the following to say regarding 
the development of the bust: If woman's "crowning 
glory" be her hair, it is certain that a well-developed bust 
is a more attractive feature to most people. Many women 
go through life with scrawny figures which are a source 
of constant mortification to them, when a little advice 
and proper exercise would modify matters materially. 
The quack advertisements in the yellowest of lay papers 
are matched by the better worded advertisements in the 




The above illustrates the Vacuum Instrument and the 
method of applying. 

highest class of ladies' magazines in bidding for the 
money of the credulous. The proof is evident that there 
is a demand for some method of developing the figure, 
and the family physician should know what advice to 
give ; in fact he should frequently have the tact to give 
advice unasked. The average physician would ridicule 
a lady patient who asked such advice, when he should 
encourage and aid. Of course one must ridicule any 
drug which has the merit (?) of "developing the bust 
four to six inches in a few days," but we can instruct our 
patients in the use of inunctions, massage, bathing, and 
breathing so as to obtain for them appreciable results. 



BEAUTY. 



143 



The following extract is taken from Ostrom's Massage 
and Swedish Movements: "Massage and exercise are 
the only means by which the bust may be pioperly de- 



.A 








■RBI, ^.y %«■ 

B* 1 

13r '••'Hi ^M%wP 




^ 


iP - 


V*^ 


— P-7,,,1 1^ 


#- - 



The results obtained from Vacuum Massage and Flesh 
Food Treatments. 

veloped. The patient should be taught how to breathe 
properly, and for the quick development of the mammary 
glands, use in massage the following preparation : 

1$ Cocoa butter 2 oz. 

Lanolin 2 oz. 

Extract saw palmetto 2 oz. 

Oil cajuput I oz. 

Oil sassafras V2 oz. 



This preparation has not a fine odor, but produces a 
pleasant sensation in the skin. It is a valuable compound 
wherever we wish to develop a part, but it should not be 
used on the face." 

A few deep breaths taken on rising each morning will 
work wonders in the course of a few months. The grow- 
ing girl should be taught to stand and walk with the 
abdomen drawn back, the chest thrown well forward, 
shoulders well thrown back and on a line with the hips. 
Bathing with alcohol or cold water on rising or retiring 
is not only grateful, but beneficial. If your flat chested 
girl patients do not speak to you on such matters, it is 



144 BEAUTY. 

your duty to speak to them (probably through their 
mothers), thus not only earning their gratitude, but ben- 
efiting their health. 



THE SKIN. 



It is this part of our anatomy that offers the "beauty 
specialists" their greatest opportunity to hold high 
carnival, and we find their preparations extensively ad- 
vertised to cure every thing from a pimple to a "mother 
mark." Among the remedies used for beautifying the 
skin, glycerine, no doubt, heads the list. Pure glycerine 
should never be used, however, in concentrated form, as 
it abstracts water from the skin and produces a sensation 
of heat and burning, but when it is combined with an 
equal part of rose water, we find it a very valuable 
agent in rendering the skin white, supple, soft and glossy. 
No other remedy will clear a sun-burned skin in so short 
a time as this preparation. 

Owing to the penetrating properties of lanoline, we 
find it also a valuable preparation, in which other reme- 
dies may be incorporated to convey them to the under 
cuticle. Corrosive sublimate is the remedy most gener- 
ally used as a bleaching agent. 

To remove freckles, moth patches, liver spots, etc., I 
subjoin several fomulae which are used extensively in 
treating these different conditions of the skin : 



GLYCERINE CREAM. 

3£ Glycerine y 2 lb. 

Almond oil 14 oz. 

Rose water 12^2 oz. 

Spermaceti $y 2 oz. 

Wax 480 gr. 

Oil of rose 60 gr. 

Melt the wax and spermaceti by gentle heat, then add 
the almond oil, next the glycerine mixed with rose water 



BKAUTY. 145 

and the oil of rose. This makes a splendid preparation 
for sun-burn, chapped hands, etc. 



RED LIP SALVE. 

If Expressed oil of almonds 2 lbs. 

Wax A^/2 oz. 

Spermaceti 4^ oz. 

Oil of genanium 150 gr. 

Oil of santal 90 gr. 

Alkanet root. 4^ oz. 

The beautiful red color which distinguishes this 
preparation is produced with alkanet root; the mass, be- 
fore the essential oils are added, is macerated for from 
six to eight hours under frequent stirring with the com- 
minuted root and then decanted from the sediment. 



ALBADERMINE. 



Under the title of Albadermiriey a foreign surgeon has 
devised a method of treatment for the removal of "tan" 
and the milder varieties of "freckles, " which is as fol- 
lows: 

.-- -SOLUTION a:- 

If Potass, iodide. .2 dr. 

Iodini pur. 6 gr. 

Glycerine 3 dr. 

Infus. rosae 4 oz. 

Dissolve the iodide of potassium in a small quantity 
of the infusion and a drachm of the glycerine; with this 
fluid moisten the iodine in a glass mortar and rub it 
down, gradually adding more liquid until complete solu- 
tion has been obtained ; then stir in the remainder of the 
ingredients, and bottle the mixture. 

[10] 



146 BEAUTY. 

SOLUTION B. 

~fy Sodii hyposulph. (Thiosulphate) . . . i 1 /* oz. 
Aqua rose 1 pt. 

Dissolve and filter. 

With a small camel's hair pencil or piece of fine 
sponge apply a little of "Albadermine A" to the tanned 
or freckled surface, until a slight but tolerably uniform 
brownish-yellow skin has been produced. At the expira- 
tion of fifteen or twenty minutes moisten a piece of cam- 
bric, linen or soft rag with "B," and lay it upon the 
affected part, removing, squeezing away the liquid, soak- 
ing it afresh, and again applying until the iodide stain 
has disappeared. Repeat the entire process thrice daily 
but diminish the frequency of the application if tender- 
ness is produced. In the course of from three or four 
days to as many weeks the freckles will either have dis- 
appeared entirely or their intensity will be greatly di- 
minished. "Summer freckles" yield very speedily to this 
treatment. 



MADAM RUPPERT'S FACE BLEACH. 

Recent analysis assigns the following composition to 
this highly lauded cosmetic : 

3J Corrosive sublimate 1 gr. 

Tincture of benzoin 7 gr. 

Water 500 gr. 

Mix. — (Western Druggist.) 



COMEDONE LOTION. 

I£ Sulphuric ether 1 oz. 

Carbonate ammonia 1 dr. 

Boracic acid 20 gr. 

Water, to make 16 dr. 

Mix, and apply twice a day. 



BEAUTY. 147 

The ammonia carbonate forms a soap with the grease. 
The boracic acid acts as an antiseptic and the ether as a 
solvent.-^- (Analytic. ) 



HAGAN'S MAGNOLIA BALM. 

Said to resemble the genuine. 

If Pure oxide of zinc I oz. 

Rose water 4 oz. 

Glycerine 1 dr. 

Perfume 25 drops. 

— (Lillard's Prac. Hints and Formulae.) 



LAC VIRGINS. 



Cosmetic for skin. 

If Tinct. of benzoin. 10 parts. 

Rose water 150 parts. 

Mix. 

A teaspoonful of this mixture, added to an ordinary 
hand-basin of water, makes an admirable cosmetic for the 
skin of the face and hands. 



FINGER NAIL POLISH, 

The finger nail being an appendage to the skin, we 
give the following formula for imparting smoothness and 
gloss to the nails: 

^ Oxide of tin 4 lbs. 

Carmine Y oz. 

Oil of lavender 150 gr. 

Oil of bergamot 1 50 gr. 

The oxide of tin must be an impalpable powder and 
is mixed with the other substances in a mortar. 



148 BEAUTY. 

FUNK'S CREAM OF ROSES. 

^ Tragacanth I dr. 

Glycerine .......... ._,..... I oz. 

Triple extract of white rose I oz. 

Water 8 oz. 

Carmine q. s. to color 



MELVINA CREAM. 



The following formula will make a preparation closely 
resembling the original : 

]$ Saxoline 265 gr. 

White wax 50 gr. 

Spermaceti 30 gr. 

Bismuth oxychloride 40 gr. 

Mercuric chloride ]/2 gr. 

Spirit of rose (4 drachms of oil to 

one pint) 20 min. 

Oil of bitter almonds 1-20 min. 

Warm the saxoline, white wax and spermaceti 'to- 
gether until melted. While cooling incorporate the bis- 
muth oxychloride and the mercuric chloride ; this lastf- 
previously dissolved in a little alcojiol, and when nearly 
cold, stir in the perfume. 



MELVINA LOTION. 



This lotion is used in connection with the Melvina 
Cream, and is recommended by the manufacturers to re- 
move freckles, pimples, moth-patches, liver moles, ring- 
worm and salt rheum, and also to straighten wrinkles in 
the face, and cleanse and soften the skin to youthful 
freshness. The following formula will make a prepara- 
tion similar to this remedy: . . ,; 



BEAUTY. 149 

IJ Mercuric chloride 2 gr. 

Zinc oxide 3 dr. 

Almonds 2 dr. 

Rose water 1 pt. 

,-Make an emulsion of the almonds and rose water; dis- 
solve the mercuric chloride and add this with the zinc 
oxide. — {New Idea.) 



ROSALIND. 



This is a cosmetic for tinting the fingers, face and 
lips, which preserves the skin, cures chapped hands, etc. 
The New Idea gives the following formula as approx- 
imately replacing the original: 

2^ Eosine 10 gr. 

White wax 30 gr. 

Spermaceti . 30 gr. 

Amber saxoline \ . .410 gr. 



ECCHYMOSIS. 



The following formula is the- very best treatment 
known for discolored skin due to a bruise, especially the. 
so-called "black eye;" 

. ^ Tincture of Capsicum 1 dr. 

Gum arabic. .. .. 1 dr. 

Glycerine .......... ... 10 drops. 

Pairit this over the affected parts, allow it to dry and 
then apply again, until the surface has three or four coats. 
The formulae for other toilet preparations will be found 
in the chapter on Secret Nostrums. 

The blame is on the poet clan 
Who raved of golden hair, 
-..-,' . Peroxide got its bloom from them, ■■ 

And not from woman fair. 



150 PAINLESS DENTISTRY. 



THE 
PAINLESS DENTAL SPECIALIST. 



THE ODTUNDENT SYSTEM OF PAINLESS 
DENTISTRY. 



Whoever procures exemption from physical suffering 
may be considered a public benefactor and in no other 
field of labor has there been a better chance of earning 
such a title than in that of extracting teeth, as the pain- 
less operator is the one whom people praise and patron- 
ize, but as a general rule a large percentage of operators 
have made a failure of local anaesthetics, (nostrums) and 
have discarded them altogether, as being worthless. 
They do not understand why some can make a success 
of their use and others can not. While this chapter will 
not be an exhaustive treatise on the subject, I will en- 
deavor to make it as plain and practical as possible, and 
give all the information that will be required to handle 
local anaesthetics successfully. What will be said has 
been taken from the experience of myself and other 
operators under my observation, who have used this 
method successfully in over sixty thousand different 
operations ; and I believe that every operator of ordinary 
skill and intelligence, who will faithfully follow the direc- 
tions given will be equally successful. 

In the year 1847 Dr. Oliver Wendell Holmes created 
the words, "Artificial Anaesthesia," and wrote : "Nature 
herself is working out the primal curse which doomed 
the tenderest of her creatures to the sharpest of her 
trials; but the fierce extremity of suffering has been 



PAINLESS DENTISTRY. 151 

steeped in the waters of forgetfulness, and the deepest 
furrows in the knotted brow of agony has been smoothed 
forever." 

The diminution of the cutaneous sensibility by the 
application of ice and freezing mixtures has long been 
practiced. It was not, however, until Richardson's 
method by the hand-ball spray apparatus had been pro- 
posed that there had been much use made of local 
anaesthesia; this method consists in directing a current 
of atomized ether against the part to be anaesthetized. 
The ether employed for this purpose should have a 
specific gravity not to exceed 0.723. Rhigolene, the 
lightest liquid known, a product of the fractional distilla- 
tion of petroleum, is more effective than ether, but great 
difficulty attends its use, owing to its extreme volatility. 
When a current of atomized ether, or Rhigolene, is di- 
rected against the skin, the rapid evaporation produces 
an intense degree of cold, in consequence of which the 
nerves lose their power of transmitting impressions to 
the sensorium. 

A serious drawback to this process of producing local 
anaesthesia is the unpleasant burning which follows in 
the part when it recovers from the freezing, and also the 
great pain which attends the application of the ether 
spray to certain parts. 

Shortly after the spray apparatus fell into disuse, 
local anaesthesia was introduced by hypodermic media- 
tion, and while there has been an abundance of good 
energy wasted by some of our best authors (who have 
made a failure of it) in condemning the method, we find 
on the other hand a larger percentage of admirers who 
have discarded every other system of anaesthesia believ- 
ing this to be superior to all. 



COCAINE. 



Careful researches in the study and chemical analysis 
of the many local anaesthetics (nostrums) which have 
flooded the market, prove that all local anaesthetics used 



152 PAINLESS DENTISTRY. 

successfully by hypodermic medication have from one 
and one-half to five per cent, cocaine basis, and this work 
would be incomplete, without giving the reader a com- 
prehensive knowledge of the physiological action of this 
valuable drug. 

Although erythroxylon (cocaine) has been the subject 
of investigation, and its powers to suspend the functions 
of the sensory nervous system recognized, the character 
of its local action was not suspected. It was reserved for 
Dr. Koller, of Vienna, to discover its analgestic effects 
when applied directly to the mucous membrane, and this 
great fact he demonstrated before the ophthalmological 
congress at Heidelberg. It happened that the dis- 
tinguished opthalmologist of New York, Prof. Dr. Noyes, 
was in attendance on the congress and he sent to the 
New York Medical Record, a letter giving the facts of the 
discovery, and this proved to be the first statement in 
the English language of Roller's demonstration. As tne 
possibilities of the future utility of cocaine as a local 
anaesthetic was then recognized ,it created a profound im- 
pression, and in an incredibly short time this remark- 
able discovery became of common interest and in com- 
mon possession. Everywhere cocaine was investigated 
by physiological and clinical methods, and the results 
confirmed the statements of Koller. To no one this side 
of the ocean, was the investigation of the properties and 
powers of cocaine of as much interest as to the medical 
and dental professions. 

The character of the action of cocaine is much in- 
fluenced by the amount administered, and the several 
stages of its action differ because the immediate and 
primary effect is necessarily opposed to the condition of 
reaction which seeks to restore the normal. When, a 
sufficiently active (or toxic) dose is given, the first 
effect is stimulation; the heartbeats are accelerated; the 
respiration becomes more frequent ; the reflexes respond 
to a distant irritation more promptly; the mind experi- 
ences a grateful sense of well-being and of activity, and 
ideation is ready, acute and comprehensive. 

The stage of excitement continues for an hour or two y 



PAINLESS DENTISTRY. 153 

and is succeeded by depression, which is at the same 
time physical, mental and moral. The pulse may con- 
tinue quick, but its force declines, and- some irregularity 
of its rhythm may occur ; the skin grows moist or profuse 
sweating comes on; the bodily temperature declines a 
little, possibly ; the appetite is lost, and nausea and vomit- 
ing increase the feeling of physical wretchedness and 
mental distress. Although cocaine is not actively toxic, 
and may be taken in enormous doses, we find some per- 
sons who are susceptible to its action, and are somewhat 
depressed by a smaller quantity. On the other hand, we 
find in an interesting article written by Dr. William A. 
Hammond and read at the eighteenth annual session of 
the Medical Society of Virginia, at Richmond, in which 
he reports taking eighteen grains at a dose, which I think 
will be of sufficient interest to quote in full, for it fully 
explains the true physiological action of the drug better 
than any article ever written, to my knowledge. The 
doctor said : . 

"About two years ago I undertook a series of experi- 
ments with this agent on myself, with the object of ob- 
taining more satisfactory information relative to its ac- 
tion than it seemed possible for me to get otherwise. I 
began by injecting a grain of the substance under the skin 
of the forearm, the operation being performed at 8 
o'clock p. m. 

"The first effect ensued in about five minutes, . and 
consisted of a pleasant thrill which seemed to pass 
through my whole body. This lasted about ten minutes 
and shortly after its appearance, was accompanied by a 
sensation of fullness in the head and heat of the face. 
There was also noticed a decided acceleration of the pulse 
with increase of force. This latter symptom was proba- 
bly, judging from subsequent experiments, the very first 
to ensue, but my attention being otherwise engaged, it 
was overlooked. On feeling the pulse five minutes after 
making the injection, it was found to be ninty-four, while 
immediately before the operation it was only eighty-two. 

"With these physical phenomena, there was a sense of 
exhilaration and an increase of mental activity that were: 



154 PAINLESS DENTISTRY. 

well marked, and not unlike in character those that or- 
dinarily follow a glass or two of champagne. I was 
writing at the time, and I found that my thoughts flowed 
with increased freedom, and were unusually well ex- 
pressed. The influence was felt for two hours, when it 
gradually began to fade. At 12 o'clock, four hours after 
the injection, I went to bed, feeling, however, no dispo- 
sition to sleep. I lay awake till daylight, my mind 
actively going over all the events of the previous day. 
When I at last fell asleep, it was only for two or three 
hours, and then I awoke with a severe frontal headache. 
This passed off after breakfast. 

"On the second night following, at 7 o'clock, I injected 
two grains of the hydrochlorate of cocaine into the skin 
of the forearm. At that time the pulse was eighty-four 
full and soft. In four minutes and a half it had increased 
to ninety-two, was decidedly stronger than before, and 
somewhat irregular in rhythm. The peculiar thrill previ- 
ously mentioned was again experienced. All the phe- 
nomena attendant on the first experiment were present 
in this, and to an increased degree. In addition there 
was twitching of the muscles of the face, and a slight 
tremor of the hands, noticed especially in writing. In 
regard to the mental manifestations there was a similar 
exhilaration as in the last experiment, but much more 
intense in character. I felt a great desire to write, and 
did so with a freedom and apparent clearness that as- 
tonished me. I was quite sure, however, at the time that 
on the following morning, when I came to read it over, 
I would find my lucubrations to be of no value ; I was 
therefore greatly disappointed when I came to peruse it, 
after the effects of the drug had passed off, that it was 
entirely coherent, logical and as good, if not better, in 
character than anything I had previously written. 

"The effects of this dose did not disappear till the mid- 
dle of next day, nor until I had drank two or three cups 
of strong coffee. I slept little or none at all, the night 
being passed in tossing from side to side of the bed, and 
in thinking of the most preposterous subjects. I was, 
however, at no time unconscious, but it seemed as though 



PAINLESS DENTISTRY. 155 

my mind was, to some extent, prevented from its usual 
course of action. The heat of the head was greatest at 
about 12 o'clock, and at that time my pulse was 112, the 
highest point reached. I had no headache until after 
rising, and the pain disappeared in the course of the 
morning. 

"Four nights subsequently I injected four grains of 
the hydrochlorate of cocaine into the skin of the left fore- 
arm. The effects were similar in almost every respect 
with those of the other experiments except that they 
were much more intense. The mental activity was ex- 
ceedingly great, and in writing, my thoughts, as before, 
appeared to be lucidly and logically expressed. I wrote 
page after page, throwing the sheets on the floor with- 
out stopping to gather them together. When, however, 
I came to look them over the following morning, I found 
that I had written a series of high-flown sentences alto- 
gether different from my usual style, and bearing upon 
matters in which I was not in the least interested. The 
result was very striking as showing the difference be- 
tween a large and excessive dose of the drug, and yet it 
appeared to me at the time that what I was writing con- 
sisted of ideas of a very superior character, and expressed 
with a beauty of diction of which I was, in my normal 
condition, altogether incapable. 

"The disturbance of the action of the heart was also 
exceedingly well marked, and may be described best by 
the word "tumultuous." At times beginning within three 
minutes after the injection, and continuing with more or 
less intensity all through the night, the heart beat so 
rapidly that its pulsations could not be counted ; and then 
its action would suddenly fall to a rate not exceeding 
60 in a minute, every now and then dropping a beat. 
This irregularity was accompanied by a disturbance of 
respiration of a similar character, and by a sense of op- 
pression in the chest which added greatly to my discom- 
fort. 

"On subsequent nights I took six, eight, ten and 
twelve grains of the cocaine at a dose, but I will not 
detain the society with a detailed account of the effects 



156 PAINLESS DENTISTRY. 

produced. It will be sufficient to say that they were 
similar in general characteristics, though of gradually in- 
creasing intensity in accordance with the dose taken, to 
that in which four grains were injected. 

"In all there was great mental excitement, increased 
fluency of thought, and exaggerated disposition to write : 
the matter written being disconnected and at times, al- 
most incoherent, though it appeared to me at the moment 
to be wonderfully logical and profound. In one, that 
in which twelve grains were taken, I was conscious of a 
tendency to talk, and as far as my recollection extends, 
I believe I did make a long speech on some subject of 
which I had no remembrance the next day. In all the 
action of the heart was increased, was irregular in 
rhythm and force to such an extent that I was appre- 
hensive of serious results. Insomnia was a marked 
characteristic, and there was invariably a headache the 
following morning. 

"In all cases the effects passed off about midday, and 
by evening I was as well as ever. 

■"Up to this time I certainly had not taken a poisonous 
dose of cocaine, or one that had produced inconvenience. 
My experience had satisfied me that a much larger dose 
than any I had up to that time injected might in my case, 
at least, be taken with impunity. A consideration of the 
phenomena observed appeared to show that the effects 
produced by twelve grains were not very much more 
pronounced than those following six grains. I determined 
therefore to make one more experiment, and to inject 
eighteen grains. I knew that in a case of attempted sui- 
cide twenty-three grains had been taken into the 
stomach without seemingly injurious effect, and that in' 
another case thirty-two grains were taken within the 
space of three hours without symptoms following of 
greater intensity than; those I had experienced. 

"I had taken the; dose of eight, ten: and twelve grains* 
in divided quantities, and this dose of eighteen grains T 
took in four portions, within five minutes of each other. 
At once, an effect was produced upon the heart, and be- 
fore I had taken the last injection the pulsations were 140 



PAINLESS DENTISTRY* 157 

t© th^mimute and characteristically irregular; In all the- 
£ormer experiments, although there was great mental, 
exaltation, amounting at times -almost to delirium, it was. 
nevertheless distinctly under my control, and I am sure ; 
that at any time under the influence of a sufficiently 
powerful incentive I could have obtained entire mastery 
over myself, and have acted after my normal manner. 
But in /this instance, within five minutes after taking 
the last injection, I felt that my mind was passing beyond 
my control, and that I was becoming an irresponsible 
agent.. I did not feel exactly in a reckless mood, but I 
was in such a frame of mind as to be utterly regardless 
of any calamity or danger that might be impending over 
me.- I do not think I was in a particularly combative con- 
dition, but I was elated and possessed of a feeling as; 
though exempt from the operation of deleterious in- 
fluences. I, do not know how long this state of mind 
continued, for I lost consciousness of all my acts within, 
I)£hink, half i an hour after finishing the administration of. 
thej dose., Probably, however, other moods supervened, 
for the next clay when I came down stairs three hours; 
after <$t$ usual: time, I found the floor of my library- 
strewn, with encyclopedias, dictionaries and other books 
of .reference, and one or two chairs overturned. I cer- 
tainly. was possessed of the power of mental and physical 
action in accordance with the ideas by which I was gov- 
erned, lor. I had .turned out the gas in the room and 
gone up ; (Stairs to my bed chamber and lighted the gas, 
and put thfe match used in a safe place, and undressed, 
laying my clothes - in their usual place, had cleaned my 
teeth and gone to bed. Doubtless these acts were all 
automatic, for I had done them all in pretty much the ; 
Same,way for a number of years. During the night the: 
CjOnditien which existed, was, judging from the previous 
experiments, certainly not sleep, and yet I remained en-r 
tirely unconscious .untiro o'clock the following morning, 
when I., found myself in bed with a splitting headache- 
and a good deal of cardaic and respiratory disturbance. 
Eqjr several days afterwards I felt the effects of this 
extreme dose in a certain degree of languor and indisposi- 



158 PAINLESS DENTISTRY. 

tion to mental or physical exertion ; there was also a 
difficulty in concentrating the attention, but I slept 
soundly every night without any notable disturance from 
dreams. 

"Certainly in this instance I came very near taking a 
fatal dose, and I would not advise anybody to repeat the 
experiment. I suppose if I had taken the whole quantity 
in one single injection, instead of in four, over a period 
of twenty minutes the result might have been disastrous. 
Eighteen grains of cocaine are equivalent to about 3,630 
grains of coca leaves, and of course, owing to its con- 
centration, capable of acting with very much greater in- 
tensity. 

"I am not aware that a fatal dose of cocaine has yet 
been indicated by actual fact. Probably eighteen grains 
would kill some people, and perhaps ever smaller quan- 
tities might, with certain individuals, be fatal. But these 
are inferences and not facts ; but so far as I know, there 
is not an instance on record of a person dying from the 
administration of cocaine. So far as my experiments ex- 
tend (and I think it will be admitted that they have gone 
as far as is safe), I am inclined to think that a dose suf- 
ficient to produce death would do so by action on the 
heart. Certainly it was there that, in my case, the most 
dangerous symptoms were perceived. The rapidity, 
force, and marked irregularity of the pulse all showed 
that the innervation of the heart was seriously affected. 

"It is surprising that no marked influence appeared to 
be exercised upon the spinal cord, or upon the ganglia 
of the base of the brain. Thus there were no disturb- 
ances of sensibility (no anaesthesia, no hyperasthesia) 
and no interference with motility, except that some of the 
muscles, especially those of the face, were subjected to 
slight twitchings. In regard to sight and hearing, I 
noticed that both were affected, but that while the 
sharpness of vision were decidedly lessened, the hearing 
was increased in acuteness. At no time were there any 
hallucinations." 

Cocaine is eliminated by the kidneys, and may be de- 
tected in the urine; the excretion takes place in a few 



PAINLESS DENTISTRY. 159 

hours and hence, any effect it has on the organism is 
not persistent. An impression has prevailed that it is 
especially hurtful, but this conception of its character 
has developed out of a misconception, and unless an 
idiosyncrasy exists (which is easily detected), the proper 
use of cocaine, seems to be not incompatible with a 
normal degree of bodily and mental vigor. 

In formulating a local anaesthetic to be used in dental 
or minor surgery, there are several objects to be obtained, 
viz. : First, to have one that will be safe at all times ; 
second, one that can be used in all pathological conditions 
of the gums ; third, one that will have no bad after 
effects ; fourth, one that will not decompose, within a 
reasonable length of time. 

In the following formulae I think we have overcome 
all these obstacles and have an anaesthetic that is safe 
and can be used in all pathological conditions of the 
gums without any bad after effects, if used with anti- 
septic precautions and ordinary skill. 



OBTUNDENT FORMULAE. 



No. i. 



I£ Cocaine hydrochlorate (Merck's) ... .2Q gr. 

Atropine sulphate. 3-10 gr. 

Chloral hydrate 20 gr. 

Phenoresorcine ^ dr. 

Aqua cinnamon 4 oz. 

No. 2. 

3J Cocaine hydrochlorate (Merck's) ... .40 gr. 

Atropine sulphate 3-10 gr. 

Chloral hydrate 20 gr. 

Phenoresorcine J4 dr. 

Aqua cinnamon 4 oz. 



160 PAINLESS DENTISTRY. 

No. 3. 

If Cocaine hydrochlorate (Merck's) 1 dr. 

Atropine sulphate 3-10 gr. . 

Chloral hydrate 20 gr. 

Phenoresorcine l /i dr. 

Aqua cinnamon 4 oz. 

No. 4. 

If Cocaine hydrochlorate (Merck's). . . .80 gr. 

Atropine sulphate 3-10 gr. 

Chloral hydrate 20 gr. 

Phenoresorcine . 3^ dr. 

Aqua cinnamon .. ... 4 oz. 

Mix and filter through absorbent cotton until clear. 

The above formulae represent a one, two, three and 
four per cent solution. For all general purposes, I use 
formula No. 3. In having these formulae compounded 
you should be sure and have it done by some one who 
is careful and competent and will see that the drugs are 
fresh and pure, and from a reputable house, of which 
Merck's is preferable. The question naturally arises, why 
the above formulae have any advantage over a common 
cocaine solution? 

Atropine given in small doses, as in this formula, is 
a cardiac, respiratory and spinal stimulant, and tends to 
counteract the effects of the cocaine more than any other 
remedy we possess. By the term phenoresorcine is meant 
by Riverdine, a mixture of carbolic acid and resorcine, 
sixty-seven parts Of the former and thirty-three of the 
latter. This mixture crystallizes on cooling and. by the 
addition of ten per cent, of water (which is always used 
in the above formulae as follows) : 

If Carbolic acid. . 67 parts. 

Resorcine . 33 parts. 

Aqua ...10 parts. 

The above formula, mixes with water in all propor- 
tions, combining the virtues of both remedies. 



PAINLESS DENTISTRY. 161 

Phenoresorcine is not only an efficient and valuable 
antiseptic and local anaesthetic, but it is indispensible in 
localizing the anaesthesia, and preventing its constitu- 
tional absorption, it was also discovered by laryngologists 
if used in conjunction with cocaine, it alleviated the 
nausea which sometimes follows the use of that drug. 
Phenoresorcine is also one of the most valuable remedies 
we could select to preserve the preparation. While a 
common cocaine solution is almost worthless at the end 
of a week, this preserves the preparations for months. 
Chloral hydrate, like phenoresorcine has a marked anti- 
septic and local anaesthetic effect, and also assists the 
other remedies in localizing the anaesthesia and prevents 
its absorption into the general circulation. Aqua cin- 
namon as used in these formulae is composed as follows : 

I£ Oil of cinnamon 6 drops. 

Glycerine I dr. 

Aqua distilled . . . . . . . . 4 oz. 

Mix and filter through absorbent cotton until clear. 

This makes an aromatic solution which disguises the 
odor of the phenoresorcine. It also assists in preserving 
the preparation. 



HYPODERMIC SYRINGE AND NEEDLES. 



The syringe for this kind of work should have a strong 
broad cross bar, or finger brace, also a large flat piston 
head so that by continual use it will not make the fingers 
sore. The piston stem should have a minim graduate, or 
scale, and an easily working nut on the same (for we 

[ii] 



162 PAINLESS DENTISTRY. 

can best regulate the use of our medicine with this nut). 
The diameter of the glass cylinder should be quite small, 
so that you may run up a high pressure when required. 
Never use a syringe that holds over thirty minims, as 
larger ones take up too much room when operating. The 
metal frame work holding the glass cylinder should be 
open on both sides so that you can have a clear view of 
the contents of the syringe, and know that it contains 
no air or floating matter when operating. 




SYRINGE AND CASE DESIGNED FOR DENTAL OPERATIONS. 

The needle should be of medium size, about twenty- 
two, twenty-three or twenty-four standard wire gauge 
is the proper size. When the syringe is not in use, put a 
wire previously dipped in olive oil through the needle, 
and screw the cap on the syringe tight; this keeps the 
needle from rusting and getting stopped up and the pack- 
ing of the syringe from drying out. If you are not using 
the syringe continually, you should oil the cylinder occa- 
sionally and always keep it in working order, and ready 
for use. Before using the syringe again, be sure that it 
has been disinfected and is in a thoroughly antiseptic 
condition. Never use a rusty needle, or one that has a 
blunt, or rough edge. They always cause more or less 



PAINLESS DENTISTRY. 163 

irritation. One of the best things to sharpen a needle on, 
is a common honing stone. 

The accompanying cut represents the kind of syringe 
to be used when operating with local anaesthetics: 
i. Piston head. 2. A 30 minim graduated piston stem 
with scale. 3. Nut which is set for about two minims, 
sufficient to inject one side of a molar. 4. Finger brace. 
5. Metal frame work supporting glass cylinder. 6. Glass 
cylinder. 7. Plunger with oil chamber. 8. Needle. 9. 
Cap to be applied when syringe is not in use. If your 
needle should get stopped up, so that you cannot get a 
wire through, but can force water through, put a drop 




REGULAR DENTAL SYRINGE— TWO-THIRDS SIZE. 

of sulphuric or hydrochloric acid in the funnel end of the 
needle, and blow until it shows at the point, allow it to 
remain this way a little while, then try to get the wire 
through; should you fail, try the acid preparation again 
until you succeed and then rinse the needle and syringe 
thoroughly. 



TO FILL THE SYRINGE. 

With the medicine screw the needle on tightly (never 
remove the needle to fill the syringe). Insert the needle 
in the anaesthetic until it has been thoroughly immersed, 
then slowly draw the pison back until you get all the 
medicine you can in the syringe. Adjust the needle up- 
wards and make sufficient pressure on the piston to force 
all the air out of the syringe and needle ; in this way you 



164 PAINLESS DENTISTRY. 

obviate the danger of injecting air into the tissues. Be- 
fore operating make a swab by winding some absorbent 
cotton around the point of a pair of pliers. (See cut.) 
Dip this into ' an antiseptic solution of which listerine 
is one of the best for this purpose, and bathe the gums 
thoroughly around the teeth to be operated on. This 
makes the operation thoroughly antiseptic, providing you 
have kept your syringe aseptic. 



THE GUMS 



To be operated on by the use of local anaesthetics can 
be divided in three classes, viz. : Firm, spongy and dis- 
eased. The firm gums are the most favorable of all for 
the use of local anaesthetics, inasmuch as they retain the 
medicine in place a greater length of time, and lessen 
the constitutional absorption. You will find it requires 
a greater degree of pressure to force the medicine in 
firm gums than it does where they are spongy, and gen- 
erallv a sac will form where the medicine has been in- 



ANTISEPTIC SWAB— ONE-HALF SIZE. 



jected which should always be spread by the antiseptic 
swab. Spongy gums are much more treacherous than 
firm gums, and if you do not watch them carefully after 
withdrawing the needle the medicine will escape, and 
you will not get the desired effect. Hence 
after withdrawing the needle, apply the antiseptic swab 
and scatter the medicine immediately. Ulcerated and 
diseased gums are almost invariably spongy and should 
ahvays be treated as such, and carry out the antiseptic 
method of treatment more thoroughly by using listerine 
freely. Should there be an abscess I always open it freely 
and inject peroxide of hydrogen. 



PAINLESS DENTISTRY. 165 

:: Swelling of the gums will follow the use of local 
anaesthetics in a certain per cent, of operations, which 
seems unavoidable, especially if the gums are diseased. 
The difficulty subsides in a few days, and leaves the gums 
in a perfectly healthy condition. 



TO INSERT THE NEEDLE. 



Insert the needle about one-twelfth of an inch above 
or below the gum margin, as the case may be. Do not 
try to insert the needle between the gum and the tooth 
at its margin (a mistake made by many operators), as 




METHOD OF INSERTING THE NEEDLE. 



you are quite sure to insert some debris which generally 
accumulates at the margin, along with the needle, which 
always causes more or less irritation. To insert the 
needle with but little pain, put the flat side of the needle 
on the gums and just make sufficient pressure to catch 



166 PAINLESS DENTISTRY. 

the needle under the gum tissue, and as you push the 
needle in on a line with the roots, force the medicine 
ahead of the needle until you have reached a depth cor- 
responding with the length of the roots ; withdraw the 
needle and make sufficient pressure on the outside sur- 
face with the antiseptic swab to scatter the medicine and 
hasten its absorption by the alveolus. A 'similar treat- 
ment should then be made on the opposite side of the 
tooth and extract immediately. I never exceed waiting 
over one minute after rubbing the gums with the anti- 
septic swab. In this way you liberate a large portion 
of the medicine, hence more can be used for this pur- 
pose than where it gets access to the general circulation. 
Regulate the amount of medicine used at each injection 
by the nut on the graduated piston stem. In this way 
you do not have to watch the syringe to see how much 
medicine you are using at each injection, but you know 
when the nut on the piston stem comes in contact with 
the syringe, just how much medicine has been used. 



THE AMOUNT OF MEDICINE USED 



In preparing teeth varies according to the teeth being 
prepared for operation. Molars and canines require more 
medicine than incisors and bicuspides. It also requires 
more medicine to prepare a single tooth than it would a 
number located together. For instance, if I were to pre- 
pare a single molar I would use from two to two and 
one-half minims on each side of the tooth, where if I 
was to prepare a number of molars located together I 
would use from one and oneThalf to two minims on each 
side. In preparing the four incisors at once, I make five 
injection, two on the lingual and three on the labial side, 
using about one and one-half or two minims at each injec- 
tion. In preparing any single tooth, all molars and 
canines always inject on each side of the tooth. The 
reason it does not take as many injections on the lingual 



PAINLESS DENTISTRY. 



167 



side as it does on the labial is, the space is more com- 
pact and the tissues more dense, and you can spread 
the medicine at your will with the antiseptic swab, which 
I always hold in my left hand when preparing the 
teeth. The accompanying cut will show about where 
to insert the medicine for a complete operation. The 
dots representing about where the needle should be 
inserted. It will require a little experience to become 
skilled in manipulating the syringe and needle, and the 
more you operate, the less medicine you will use, as 
it requires a little practice to learn where the medicine 
will do the most good. While I claim that the use of 




The dots in the above cut represents where the needle should 
be inserted for a complete operation 

these anaesthetics when carefully administered are per- 
fectly harmless, at the same time I insist that they be 
properly used. Dentists generally think if they cannot 
inject a whole mouth full of a local anaesthetic into a 
patient's gums at once, the anaesthetic is at fault. Ex- 
perience with the use of these formulae in over sixty 
thousand different operations by myself and others under 
my observation, convinces me, that they are the safest 
and best in use, and, if handled with out-fourth the skill 
other anaesthetics are, you would never hear of any bad 
effects resulting from their use. It is not the use of a 
medicine but the abuse of it, that makes people con- 



168 PAINLESS DENTISTRY. 

demn it. In carefully looking up the records of the use 
of local anaesthetics, I am not able to report a single 
death caused by their use. If a patient presented himself 
for you to administer chloroform, you wouldn't com- 
mence by pouring one or two ounces of the drug on a 
napkin for inhalation, but would begin gradually, the 
same method should be observed in using local anaes- 
thetics. Instead of injecting a patient's gum full of the 
anaesthetic the first thing, carefully prepare one or two 
teeth, and operate in this way. If the operation is pain- 
less and successful, you get the patient's confidence, and 
he loses all fear of proceeding farther. Always allow a 
few minutes (from five to fifteen) after each operation 
for the patient to rinse his mouth and the gums, to 
stop bleeding. Then prepare three or four more, allow- 
ing sufficient time after each operation for the patient 
to rinse his mouth, and his gums stop bleeding. If 
your patient gets impatient, tell him you cannot operate 
while his gums are bleeding; for the secret of safety 
and success is to allow sufficient time to intervene after 
each operation. I will admit I am a hundred times 
more reckless than the instructions given above, as I 
frequently prepare from ten to sixteen teeth at a time, 
but I am so accustomed to its use, and; can judge the 
temperament of a patient so well that T am perfectly 
safe in doing so, and the above instructions are laid down 
for operators with less experience and it is always best 
to be on the safe side. 

Should you ever make such a mistake as to inject 
the gums full of the medicine at once and the patient 
should complain of feeling faint, sick at his stomach, 
etc., extract immediately, and this will liberate a large 
portion of the anaesthetic, also give the patient a liberal 
supply of good liquor (preferably brandy), and they will 
generally feel all right in a few minutes ; but do not 
continue the operation until the patient tells you he feels 
better and is ready to proceed. 

If stronger stimulants are required, aromatic spirits 
of ammonia and amy! nitrate may be used to good ad- 
vantage. 



PAINLESS DENTISTRY. 169 



YOUR SUCCESS. 



There has been much said of late in current literature 
regarding sloughing gums and disastrous after effects fol- 
lowing the use of local anaesthetics, and they do not 
understand why one dentist can handle a local anaesthetic 
successfully and another cannot. Many dentists will 
secure some nostrum, allow it to stand around the office 
for three or four months exposed to the heat and light 
until it decomposes and loses its strength, throw their 
syringe into a box, allow it to corrode, dry up, and the 
needle get rusty, and when a patient presents himself he 
gets the benefit by having some decomposed medicine in- 
jected in his gums through a corroded and rusty syringe 
and needle. The patient complains that the operation 
has been painful (and he ought to). He will probably 
return in a few days with his face swollen badly and you 
might find an abscess where the needle was inserted to 
add to the patient's misery. 

There is always a right and a wrong way for every- 
thing, and if the operator will follow the instructions given 
and observe the following "pointers" I will assure him 
that he will be successful while his competitors are not : 
First — Always operate under antiseptic precautions by 
using listerine or some other antiseptic freely. Second — 
Never allow your syringe and needle to corrode, dry 
up and become rusty, but always keep it aseptic and in 
working order. Third — Never get in a hurry, but give 
the patient plenty of time to rinse his mouth, etc. 
Fourth^-Always operate more slowly on weak, nervous 
and sickly people, than you would on the robust. Fifth 
— Be sure that the medicine has been inserted in the gum 
and not squirted in the mouth, as the medicine that gets 
into the mouth is what causes the patient to complain 
of sore throat, stiff tongue, faint, sick at stomach, etc. 
Never operate without having liquor at hand that no 
needed stimulation may be delayed. 



170 PAINLESS DENTISTRY. 

SECRET NOSTRUMS AND NEW PREPARATIONS. 

It has seemed to be the sole ambition of the nostrum 
venders to formulate a local anaesthetic without the use 
of cocaine, and with this aim in view, some of them have 
extolled the virtues of many familiar preparations, such 
as Aristol, Listerine, etc. While others who have wisned 
to make their "wonderful discoveries" more mysterious, 
have attributed them to some foreign country, and now 
we have offered us "The Hindoo Anaesthetio" and the 
"Brazilian Anaesthetic" (Dorsenia), and many others, all 
of which are claimed to be a reliable substitute for 
cocaine, and free from its disadvantages. 

On the other hand, there has been many legitimate 
products offered which are entitled to all the credit 
given them by their manufacturers. Most prominent 
among these may be mentioned eucaine, tropo-cocaine 
and chloretone. I have used these remedies quite ex- 
tensively, but do not believe that their action can be 
compared with cocaine, which in my opinion is par ex- 
cellence as a local anaesthetic. There has been several 
secret preparations analyzed to determine the percentage 
of cocaine, which I will give and also the published 
formulae of several advertised dentifrices. 



ODONTUNDER. 



A. W. Diack, D. D. S., in the Medical World, gives 
the following for the above named much advertised local 
anaesthetic. He says the following has been given me 
as (approximately) the correct analysis of the compound : 

I£ Carbolic acid y 2 dr. 

Tinct. iodine . : y 2 dr. 

Potassium iodide I dr. 

Glycerine .2 oz. 

Aqua 2.]/2 oz. 

Cocaine, about 34 gr. 

Charles M. Kerr, M. D., writes that he made an 
analysis of a similar compound called 



PAINLESS DENTISTRY. 171 

AN^STHETINE 

With the following results : 

]J Cocaine 4 per cent, solution. 

Boracic acid quantity not estimated. 

Creasote quantity not estimated. 

Glycerine quantity not estimated. 



DENS ANTI POENA. 

The following is the result of an analysis of the above 
named compound made in Frederick Stearns & Co. 
laboratory. The examination was made to find the per 
cent, of cocaine with the following results : 

I£ Cocaine about 2 per cent. 

Chloral per cent, not estimated. 

Carbolic acid per cent, not estimated. 

Cinnamon per cent, not estimated. 



PARSONS' LOCAL ANAESTHETIC. 

^ Chloroform 12 parts. 

Tinct. aconite 12 parts. 

Tinct. capsicum 4 parts. 

Tinct. pyrethrum 2 parts. 

Oil cloves 2 parts. 

Camphor 2 parts. 

Dissolve the camphor in the chloroform, then add the 
oil of cloves, and then the tinctures. The venerable Dr. 
Parsons, in sending this formula for publication says : 
"I cannot expect to remain much longer in this world, 
and I want the profession to know the value of this local 
•anaesthetic." 



172 PAINLESS DENTISTRY. 

ODONTODOL. 

If Cocaine hydrochlorate I part. 

Oil of cherry laurel I part. 

Tincture of arnica 10 parts. 

Solution of ammonia acetate 30 parts. 



JESSOP'S ANESTHETIC. 

If Cocaine hydrochlorate 2.63 per cent. 

Carbolic acid per cent, not estimated. 

Oil of rose per cent, not estimated. 

Aqua q. s. 



DICKSON'S ANESTHETIC. 

If Cocaine hydrochlorate 3.90 per cent. 

Carbolic acid per cent, not estimated. 

Chloral hydrate per cent, not estimated. 

Aqua distilled q. s. 



DORSENIA. 



5 Cocaine hydrochlorate 0.20 per cent. 

Carbolic acid per cent, not estimated. 

Camphor per cent, not estimated. 

Alcohol per cent, not estimated. 

Aqua .q. s. 



WEINMANN'S ANESTHETIC. 

If Cocaine hydrochlorate 5.68 per cent. 

Aristol .per cent, not estimated. 

Oil of peppermint. . .per cent, not estimated. 
Br. coloring matter. per cent, not estimated. 

. Alcohol per cent, not estimated. 

Aqua q. s. 



PAINLESS DENTISTRY. 173 

DENTAL SURPRISE. 

3J Cocaine hydrochlorate 1.46 per cent. 

Carbolic acid. .... . .per cent, not estimated. 

Aqua . . . . . q. s. 



ANESTHETO OBTUNDENT. 

IJ Cocaine hydrochlorate. ...... .3.39 per cent. 

Carbolic acid ....... per cent, not estimated. 

Camphor per cent, not estimated. 

Glycerine per cent, not estimated. 

Oil of cinnamon per cent, not estimated. 

Oil of Citranella. . . .per cent, not estimated. 

Alcohol per cent, not estimated. 

Aqua q. s. 



ODOLGINE. 



If Cocaine 21 gr. 

Tincture of iodine 9 min. 

Potassium iodide 2 gr. 

Carbolic acid 6 min. 

Witch hazel 1 oz. 

Glycerine 1 oz. 

Aqua ........... 3 oz. 



BARR'S ANESTHETIC. 

3$ Alcohol per cent, not estimated. 

Oil of peppermint, .per cent, not estimated. 
Oil of cloves per cent, not estimated. 



EUREKA ANAESTHETIC. 

1J Cocaine hydrochlorate 3.26 per cent. 

Carbolic acid per cent, not estimated. 

Oil of rose per cent, not estimated. 

Aqua q. s. 



174 PAINLESS DENTISTRY. 

AROPHENE. 

5 Cocaine hydrochlorate 1.46 per cent. 

Carbolic acid per cent, not estimated. 

Chloral hydrate per cent, not estimated. 

Glycerine per cent, not estimated. 

Oil of rose per cent, not estimated. 

Alcohol per cent, not estimated. 

Aqua distilled q. s. 



DENTIFRICES. 



REID'S ANTISEPTIC LIQUID DENTIFRICE. 

^ Thymol 2 gr. 

Carbolic acid 5 drops. 

Oil sassafras 8 drops. 

Oil wintergreen 8 drops. 

Oil rose geranium (Turk) 8 drops. 

Oil eucalyptus 3 drops. 

Oil calamus 5 drops. 

Oil pinus pumilio 20 drops. 

Glycerine 2 oz. 

Alcohol ^y 2 oz. 

White castile soap 2 dr. 

Dist. water q. s. to 16 oz. 

Calcium phosphate q. s. 

Caramel 

Tinct. cudbear aa. q. s.to color 

Dissolve the soap in five ounces of warm water. Dis- 
solve the acid and oils in the alcohol and add to the soap 
solution. Filter through paper containing a small 
quantity of calcium phosphate. Add glycerine. 



PAINLESS DENTISTRY. 175 

VAN BUSKIRK'S SOZODONT. 

^ White soap (powdered) ^2 dr. 

Alcohol 1 oz. 

Aqua 6 dr. 

Glycerine 2 dr. 

Oil of peppermint 

Oil of cloves 

Oil of wintergreen q. s. 

Powdered cochineal q. s. to color 



FRAGRANT SOZODONT POWDER. 

1$ Calcis precipitate 1 oz. 

Magnesii carbonatis 1 oz. 

Iridis florent radicis 1 oz. 

Triturate. 



RUSHMERE LIQUID DENTIFRICE. 

I£ Soap bark ground 2 oz. 

Glycerine 1^2 oz. 

Salicylate sodium 2 dr. 

Oil bergamot Yz dr. 

Oil wintergreen ^2 dr. 

Oil cloves 10" drops. 

Alcohol 1 oz. 

Solution carmine (N. F.) q. s. 

Dilute alcohol, to make 16 fl. oz. 

Macerate the soap bark with the diluted alcohol and 
glycerine, then percolate. To the percolate add the oils 
dissolved in the alcohol. To this add the salicylate of 
sodium and sufficient solution of carmine to color. Shake 
thoroughly and filter through wetted talcum, returning 



176 PAINLESS DENTISTRY. 

first portion to the filtrate until it runs clear and add 
enough dilute alcohol through the filter to make the 
measure one pint. 



CALDER'S SAPONACEOUS DENTINE. 

5 Calcium carbonate 59 per cent. 

Soap 44 per cent. 

Oil of wintergreen sufficient to flavor. 



ROSE DENTOLINE. 

Tji Quillaja, coarse powder 2 oz. 

Glycerine 2 oz. 

Cologne spirits 8 oz. 

Rose water 2 pts. 

Solution carmine 3 dr. 

Essence vanilla ^2 oz. 

Oil wintergreen 30 drops. 

Oil cloves 10 drops. 

Dissolve the oils and essence in the spirits, add the 
rose water, and in the whole digest the quillaja for two 
weeks, shaking occasionally. Finally add the glycerine 
and coloring solution and filter. 

The carmine solution is made by rubbing one dram 
carmine with one-half ounce aqua ammonia till dissolved, 
then add three and one-half ounces water. 



BROWN'S CAMPHORATED SAPONACEOUS 
DENTINE. 

3$ Calcium carbonate 71 per cent. 

Soap 

Camphor aa. 29 per cent. 



PAINLESS DENTISTRY. 177 

DENTINE. '. 

If White castile soap i J4 oz. 

Glycerine 4 fl. oz. 

Cologne spirits 6 oz. 

Hot water 6 oz. 

Oil peppermint 20 min. 

Oil wintergreen 30 min. 

Oil cloves 10 min. 

Extract vanilla y 2 fl. oz. 

Carmine coloring q. s. 

Dissolve the soap in the hot water, add the glycerine 
and vanilla. Dissolve the oils in the alcohol. Mix the 
two solutions, add the color, allow to stand twenty-four 
hours and filter. (A little powdered charcoal in the filter 
improves the preparation.) 



CRET.E CREAM. 



3J Precip. chalk 3 oz. 

Powdered carb. magnesia 2 dr. 

Powdered white castile soap. ....... .40 gr. 

Mix and add : 

Oil cloves 

Oil cassia 

Oil orange sweet 

Oil lavender flowers aa. 1 min. 

Oil rose geranium (Turk) 3 min. 

Mix thoroughly, then add a mixture of 

Glycerine I fl. oz. 

Water 6 fl. dr. 

Triturate for a long time. 

[12] 



178 PAINLKSS DENTISTRY. 



DENTALBA. 



If Precip, chalk 12 oz. 

Prep, chalk 6 oz. 

Powd. orris 6 dr. 

Essence vanilla 3 dr. 

Tinct. coumarin 6 dr. 

Tinct. benzoin 3 dr. 

Ammonia (stronger) 1 dr. 

Carmine 1 dr. 

Otto rose 12 min. 

Oil cloves 12 min. 

Glycerine 8 oz. or q. s. 

(Note. — The color, to our mind, is too strong, other- 
wise the preparation is an excellent one. — Ed.) 



CITROLEINE DENTIFRICE. 

If Cretae praecip 1 lb. 

Pulv. sacch 2 oz. 

Pulv. iridis 4 oz. 

Cuttle fish bone 2 oz. 

Soda bicarb 2 oz. 

Oil lemon 2 dr. 

Mix. 

First tint the precipitated chalk with a concentrated 
tincture of saffron, and then spread on paper to dry. 
Then take the soft portion of the fish bone which can be 
scraped off with a knife, place in a mortar with the 
sugar, rub well down to a fine powder. To this gradually 
add the powdered orris root, bicarbonate of soda and oil 
of lemon. Mix thoroughly, then gradually incorporate 
with the chalk by working in a mortar and sifter. 



PAINLESS DENTISTRY. 179 

IMPERIAL TOOTH POWDER. 



I£ Precipitated chalk 8 oz. 

Powdered castile soap. . I oz. 

Powd. cuttle fish bone 

Powd. orris root aa. y 2 oz. 

Oil wintergreen J/£ fl. dr. 

Prepared coloring q. s. to suit. 

Prepared coloring: 

^ Carmine No. 40 y 2 oz. 

Water 

Aqua, ammonia aa. 8 oz. 

Triturate the carmine with the ammonia, add the 
water and filter. 

To the chalk add T / 2 ounce of the coloring. 



RUBICREME. 



I£ Menthol 2 scruples. 

Oil clove 

Oil peppermint aa. 1J/2 dr. 

Boric acid 9 dr. 

Tinct. myrrh 4^ oz. 

Tinct. cudbear, N. F 2 oz. 

Alcohol to make 36 fl. oz. 

Dissolve the menthol and boric acid in 20 ounces of 
the alcohol, add the oils and then the tinctures, filter and 
add the. alcohol to make 36 fl. ounces. 



180 PAINLESS DENTISTRY. 

DENTENAMEL. 

IJ Saccharin 

Soda bicarb aa. 24 gr. 

Cretae precip 12 oz. 

Mag. carb 3 dr. 

Soap powd 

Orris aa. 9 dr. 

Thymol 

Carmine aa. 24 gr. 

Oil genanium 24 min. 

Oil gaultherium 12 min. 

Rub the thymol and carmine with the carbonate of 
magnesia and add the essential oils ; then the cretae precip. 
and the pulv. orris ; lastly the soap. Pass through a 
sieve and add the saccharine and bicorbonate of soda, 
and again pass through a fine sieve. 



ROSE DENTIFRICE. 

IJ Prepared chalk 3^ ft), av. 

Sugar of milk 1% ft>- av. 

Best powd. orris root %. lb. av. 

Carmine No. 40 40 gr. 

Oil rose 20 m. or 40 drops. 

Rub the chalk, orris root and Y^ lb. of sugar of milk 
together in a capacious mortar and pass the mixture 
through a No. 80 sieve. Then rub up the carmine in the 
mortar and gradually add to it whilst rubbing the re- 
maining sugar of milk. To this mixture add the oil of 
rose and after rubbing all well together add to it about 
Y^ lb. of the sifted mixture, stir this well together and 
also pass it through a sieve. Mix. 

" My curse upon thy venom'd stang, 
That shoots my tortured gums alang ; 
And through my lugs lies mony a twang, 

Wi' gnawing vengeance ; 
Tearing my nerves wi' bitter pang, 

I^ike racking engines." — Burns. 



HYPNOTISM. 181 



THE 
HYPNOTIC SPECIALIST 



The medical profession of this country have never 
seemed to study the phenomena of hypnotism as our med- 
ical brothers across the water have. Although it is a sub- 
ject that interests the statesman, the scientist, the pro- 
fessional man and the layman alike, it is discussed by a 
few only, and is marveled at by the many. 

Showmen and charlatans have endeavored to hold 
the world at bay regarding its secrets by teaching the 
people that they were in possession of a gifted mystic 
power. 

While the phenomena of hypnotism are beyond the 
scope of this book, I feel that I would be neglecting a 
very important subject if I did not divest it of the super- 
natural and explain how it is done. 

If there is any class of people who should acquire a 
knowledge of hypnotism, it is the medical profession, for 
in their hands, it will find its greatest field of usefulness 
as a healing agent and sociological factor. 

In the following pages, I will endeavor to give, in 
brief, the history of hypnotism ; the different methods of 
producing the hypnotic state ; hypnotism as a curative 
agent, etc. This may seem very simple to you. It is 
simple and by following the instructions, and with a 
little practice, you can produce all the different phe- 
nomena of hypnotism, as well as other operators. Every 
physician should at least be familiar with the subject, if 
he does not practice it. 



182 HYPNOTISM. 

THE HISTORY OF HYPNOTISM. 



It is almost impossible to realize what an important 
part hypnotism has played in the political and religious 
histories of the world. It has made prophets and seers 
of old, witches and wizards at the beginning of the last 
century, and all kinds and conditions of religious fanatics 
of our present day. The laying on of hands, the absent 
treatment and other methods used by the modern 
divine healers (?) were practised by the Egyptians be- 
fore the year 1552 B. C. It is also known that Francis 
I., of France, and other French kings up to Charles X., 
practiced the art of healing by the imposition of hands. 
Another system was presented at the end of the middle 
ages, which developed out of the doctrine of the influence 
the moon and stars had upon men, which is well known 
to be practised by astrologers at the present day. 

In the beginning of the eighteenth century, we find 
Santanelli in Italy, recognizing the great influence of 
imagination and advancing the theory that every thing 
material possesses a radiating atmosphere which operates 
magnetically. Although the foundation of "animal mag- 
netism was thus laid, universal attention was first 
drawn to it by Mesmer (from whom the name mes- 
merism developed), a Viennese doctor (1734-1815). 
Mesmer used animal magnetism in the treatment of dis- 
eases. He cured, at first, by contact, but believed later 
that different objects of wood, glass, iron, etc., were 
capable of receiving the magnetism, consequently he 
made use of them as a means of conveying his mag- 
netism. 

Mesmer made many disciples. His pupils and succes- 
sors were generally called Mesmerists, and the doctrine 
of animal magnetism was also called mesmerism, vital 
magnetism, bio-magnetism. These practices flourished 
and gained a strong foothold all through Europe. 

Mesmerism was introduced in Manchester, England, 
in 1841, when Dr. Braid, of that city, became interested 



HYPNOTISM. 



183 



in the subject and showed with much method that the 
phenomena were of a subjective nature. By carefully 
fixing the eyes upon a given object, it induced a condi- 
tion of sleep which he called "hypnotism," which was the 
origin of that term. 

A few years later, Dr. Braid came to America and 
introduced hypnotism in New Orleans, which was its 
chief center for many years; 

In the year 1878 Dr. Charcot, of Paris, France, began 
his public classes, in which he directed attention to the 



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CHARCOT'S CLIMC, PARIS, FRANCE. 



physical states of hystero-epileptics during hypnosis. 
Later, hypnotism was introduced by Prof. Bernheim, in 
the second Medical College of France, at Nancy. This 
created a contest between the school of Charcot, and that 
of Nancy, which is not yet entirely settled. The latter, 
however, has gained ground more and more. 

At the present time hypnotism has gained its entrance 
into the lecture rooms of several universities and medical 
colleges, both in Europe and America ; therefore it must 
be mentioned that animal magnetism, out of which 
hypnotism has developed, has retained many adherents 



184 HYPNOTISM. 

in the scientific world, and today, we can recognize three 
great schools with many points of transition : First, the 
school of Charcot; second, the school of Nancy, and 
third, the school of Mesmerists. 



METHOD OF INDUCING HYPNOTISM. 



There are several ways of producing the hypnotic 
condition, but for convenience, I will divide them into 
only three ways : First, the mesmeric method, which is 
the system used at most public exhibitions, and I be- 
lieve the easiest way to induce hypnosis ; second, the 
so-called mental method, and third, the fascination 
method. It is these methods, used either singly or com- 
bined, that Charcot, Bernheim, Fere, Braid, Regnard, 
Preyer, Dumont and all others used. 

Hypnotists of international reputation are using the 
mesmeric method. I consider this method the easiest 
and most practical way of producing hypnosis. The 
first thing to accomplish, is the concentration of thought 
in the subject. Require him to sit down ; give him a 
coin or some other article, tell him to look steadfastly ai 
it and not take his eye from it, and think of nothing else 
except the article you hand him. By watching the sub- 
ject carefully, you can tell whether or not his mind is 
upon the object. If you think his mind is not wandering, 
approach him and suggest that his eyelids are growing 
heavy, that it is impossible for him to keep his eyes open. 
Have him close his eyes and make passes from the head 
to the knees (the mesmeric passes). Now suggest that 
his eyelids have grown together, and it is impossible for 
him to open his eyes. Have him try hard (he will try, 
but in vain). Place his hands upon his knees and tell 
him that he cannot remove them. He will try, but fail to 
do so. Keep up the passes and suggest that he is now 
going to sleep, sound asleep; that his mind is a blank; 
he can no longer think of anything, but will remain 



HYPNOTISM. 185 

sound asleep until you tell him to wake up. If your 
subject is susceptible to the hypnotic influence, he will sit 
before you in a complete state of hypnosis, and ready for 
any suggestions you may offer. You may tell him he is 
a horse, broom, or thrashing machine, and he will believe 
it and act his part well. 

In order that I may give you a clearer idea of the 
phenonema of this mystic power, I will tell you my first 
experience as a hypnotist. I was attending a medical 
convention in Cincinnati, and some of the physicians, 
with whom I was stopping, requested me to join them 
in a theatre party, to attend a performance given by a 
lady hypnotist. I consented to do so, and watched her 
perform very attentively. She used the same method 
as described above. On arriving at our hotel, after the 
performance, we entered into a discussion regarding 
hypnotism, and I stated that I believed that if that lady 
could produce the hypnotic condition, I could, for I could 
see nothing supernatural about her, and I really had 
more confidence in my own ability than in hers. This 
self-confidence and positiveness, I afterwards learned, 
is one of the chief requisites for a successful hypnotist. 
To be brief, the physicians present volunteered to supply 
me with the subjects if I would hypnotize them. This 
was agreed to, and they presented me with three per- 
sons, two ladies and a young man. I seated them and 
handed each a coin, requesting them to concentrate their 
thoughts on that one thing and to think of nothing else. 
They took the matter seriously and followed my instruc- 
tions. Presently, I approached one of the ladies and told 
her that her eyes were getting tired and advised her to 
close them. I then commenced to make passes from her 
head to her knees. I suggested that her eyelids had 
grown fast and she could not open them. I told her to 
try hard, and she did, but in vain. She was perfectly 
conscious, but could not get her eyes open. I then 
assured her that she had grown fast to the chair and 
could not get up. She tried, but failed. I then told her 
that I was going to give her a magnetic treatment, and 
make a few passes over her body and she would go fast 



186 HYPNOTISM. 

asleep. I commenced to make the passes and at the 
same time to suggest "You are going to sleep now, fast 
asleep,'' etc., and in a few moments she sat before me 
in as complete a state of hypnosis as one would wish 
for. You may imagine my surprise. To tell the truth, 
I was somewhat confused,, for I had never studied 
hypnotism, and did not know the first principle of it; in 
fact, I did not know whether or not I could awaken her, 
but I slapped my hands loudly in front of her face, and 
said "Wide awake," and she immediately opened her 
eyes and smiled, which was, I assure you, a great relief 
to me. 

I next tried the young man. I could place him in a 
condition in which he could not open his eyes, but could 
go no farther. 

The other young lady I could do nothing with. 

I cite this experience to show you how simple the 
subject it, and when you make your first efforts in that 
line, you will, no doubt, be as much surprised at your 
success as I was. I had never read an article on the 
subject, and knew very little about it, except what I had 
seen the lady do that evening. 

The mental method of inducing hypnosis is the 
method used at the school of Nancy, and is frequently 
referred to as the Nancy method. This is the most 
popular method in use throughout Europe. By its 
use the subject is thrown into a hypnotic state 
by arousing in his mind the image of sleep. This is 
more easily practiced on subjects who have previously 
been hypnotized. The following is the exact method 
proposed by Dr. Bernheim, and used at the college in 
Nancy, France : The person is advised to be seated and 
close his eyes. Then tell him : "You must try and go to 
sleep ;" "think of nothing, but that you are to go to 
sleep." Leave him in this condition for a few seconds 
and then continue : "You are commencing to feel tired 
and sleepy all over your body;" "your arms and legs 
feel heavy ;" "a feeling of drowsiness is now taking pos- 
session of your body;" "your head feels dull;" "your 
thoughts grow more confused ;" "you can no longer resist, 



HYPNOTISM. 187 

you are now sound asleep ;" "you cannot open your 
eyes ;" "your mind is a blank," etc. These mental sug- 
gestions are often all that is required to produce a com- 
plete state of hypnosis, and it is a very convenient way 
with some subjects. You can now ask him if he is 
asleep, and he will answer, "Yes." Ask him if he hears 
the band playing; he will say "Yes." Tell him to open 
his eyes, and he will see a beautiful white horse. Place 
a chair in front of him for a horse. Tell him to get on 
the horse and take a ride. He will straddle the chair and 
attempt to ride. You can ask him what he sees while 
riding through this beautiful forest and he will describe 
very accurately some scene he has viewed in his life. You 
now have completely robbed the subject of his will by 
simply suggesting sleep. He is en rapport with you, 
and you only. 

The fascination method is induced by looking the sub- 
ject straight in the eyes. After you have done this for 
some time, take him by the arm and draw him away 
with you. Still keep your eyes fixed upon each other; 
then raise 3 r our arm and he will do the same ; in fact, you 
can have him imitate any movement or position that you 
make as long as you keep your eyes fixed upon his, but 
as soon as you cease to look at him, the charm is broken. 
This method is demonstrated in lower animals. We 
have often seen snakes and cats charm birds. For all 
practical purposes it is used less than the other methods. 



THINGS THAT PREVENT AND ENCOURAGE 
THE PRODUCTION OF HYPNOTISM. 



When you are attempting to hypnotize a subject, you 
must insist that the place shall be kept quiet; disturbing 
noises of all kinds have a tendency to distract the atten- 
tion and interfere with the mental condition required 
to induce the hypnotic state. Have those who are 
present assume rather a serious mood and avoid all ac- 



188 HYPNOTISM. 

tions, either by word or gesture that will give any evi- 
dence of mistrust. Gain the confidence of those upon 
whom you operate. Endeavor to have perfect harmony 
in your presence. This, together with soft, sweet music 
and quietness, will assist you in establishing the results 
you desire from your efforts. 



HOW TO AWAKEN FROM THE HYPNOTIC 

STATE. 



There are as many ways of awakening a subject from 
/the hypnotic state as there are of putting him into it. 
Crying out "Wide awake," or "All right," "Open your 
eyes," and spatting your hands loudly, or snapping your 
fingers in front of the subject's face is generally all that 
is required. They will also awaken if left alone, but this 
will take some time if they are in a deep state of hypnosis. 
If passes have been made downward, reverse them. You 
will never have any trouble in bringing your subject out 
of the hypnotic state. 



HYPNOTISM AS A THERAPEUTIC AGENT. 



In the foregoing paragraphs you were told how to 
induce the hypnotic state, and now we wish to know how 
its influence can be used as a curative agent, but before 
discussing its various applications, we wish to call your 
attention to the importance of the way in which you 
make suggestions. 

A hypnotist must always be positive and firm, yet 
kind and gentle. Your subject must feel that you under- 
stand your business, and that you are master of the 
situation. You should make your suggestions in as con- 
cise and impressive a manner as possible. For instance, 



HYPNOTISM. 189 

do not say, "Try to open your eyes ; they are closed fast 
and it is impossible for you to open them," but say, 
"Your eyes as closed fast, you cannot open them, try 
hard." 

The first suggestion you give is the first to be re- 
ceived by the subject, that is, in the first sentence, you 
told him to open his eyes, which he might do before you 
finish the balance of your suggestion. In the latter sen- 
tence you told him that his eyes were closed. This he 
receives and his efforts to open his eyes will fail. 

There are a great many ways in which hypnotism 
can be applied to good advantage. It can produce either 
local or complete anaesthesia. Under its influence, Jules 
Cloquet removed a breast, and Dr. Loysel amputated a 
leg painlessly in the year 1845. Its influence is also used 
at the present time by hundreds of physicians in America 
and Europe in the treatment of certain diseases and in 
minor surgery. Teeth have been extracted, small tumors 
removed, the pain of neuralgia relieved, and it is applied 
to good advantage in various diseased conditions, which 
I will illustrate in the following cases : 

Case 1 — Mr. H., aged 23, applied to me to have an 
upper molar tooth extracted, and requested me to 
hypnotize him for the operation, as he was prejudiced 
against the use of local anaesthetics. I directed him to 
be seated ; I had hypnotized him before and it was very 
easy to place him in a state of hypnosis, which I did. I 
told him, "I wish to extract a tooth for you which will 
be done without pain. You must open your mouth 
wide," which he did without any hesitation. I then 
added, "Your mouth is now wide open, and it will be 
impossible for you to close it." I took this precaution 
to prevent his closing his jaws upon my fingers or the 
instruments. I now placed my thumb and finger on each 
side of the tooth and made heavy pressure, and said, 
"This tooth is perfectly dead now. The nerve has been 
killed and there will be no pain." I now loosened the 
gums from the alveolar process and removed the tooth. 
The patient still sat in the chair with his mouth open 
and face motionless. I now told him, "The tooth is out, 



190 HYPNOTISM. 

close your mouth and spit out the blood." He did as I 
suggested, after which I slapped my hands in front of his 
face and added, "All right, wake up." He opened his 
eyes and said, "Did you get it, doctor?" He seemed sur- 
prised to find his mouth full of blood. 

This is the usual method of producing all forms of 
local anaesthesia through hypnotism. If I were to re- 
move a small tumor, I would carry out nearly the same 
method of suggestion, and stroke the part to be removed 
before operating upon it, and never forget to suggest 
that it will be done without pain. 



SIMPLE SUGGESTION. 



I do not wish to associate hypnotism with Christian 
science, but their modern operations are very much alike 
at times. Their principal therapeutic agent is suggestion, 
which will be illustrated in the following case: 

In the early days of my medical career, I was treat- 
ing a patient who had a fever. Her temperature was 
104^. She was delirious and I had much difficulty in 
getting her to sleep. Various remedies were used, but 
with little effect. I invited an older brother practitioner 
to visit the case with me. On entering the room, we 
found that she had had very little sleep in the last 
twenty-four hours, and was very nervous. The doctor 
was a kindly magnetic old soul, and after discussing the 
case briefly, he sat down beside the patient and gently 
stroked her forehead, and said, "I guess you can go to 
sleep now. Try hard. Think you are going to sleep 
and you will sleep." He continued stroking her head for 
a few minutes and she fell into a beautiful sleep, which 
lasted four and one-half hours, and awakened feeling 
much refreshed. 

This patient was not hypnotized, but she took the 
suggestion favorably. This demonstrates what simple 



HYPNOTISM. 191 

suggestion will often do as a restorative agent if properly- 
applied. 

It is by this simple method of suggestive therapeutics, 
that the modern Christian scientists, faith cures, and 
divine healers, have claimed to achieve their great suc- 
cess, and, although its field of usefulness is limited, it is 
worthy of consideration in many cases, and can often be 
applied in the general practice of medicine. It might be 
well for me to add, however, that if I had told the good 
old doctor he was practicing hypnotism or Christian 
science in that case, he would have ceased to be my 
friend, for he was very skeptical on such subjects. 

The following case is reported by Dr. Bernheim, and 
will illustrate the way hypnotism is applied at the school 
of Nancy, and the power it has over muscular rheu- 
matism. The doctor says: "A child was brought to me 
with a pain like muscular rheumatism in the right arm, 
which dated back four or five days. The arm was painful 
to pressure ; the child could not lift it to its head. I said 
to him, 'Shut your eyes and go to sleep/ I held his eye- 
lids closed and went on talking to him, 'You are asleep 
and you will keep on sleeping until I wake you up. You 
are sleeping very well, as if you were in bed. You are 
perfectly well and comfortable. Your arms and legs and 
whole body are asleep, and you cannot move.' I took my 
fingers off his eyelids and they remained closed. I put 
his arms up and they remained so. Then touching the 
painful arm, I said: 'The pain has gone away; you will 
have no more pain ; it will not come back any more/ In 
order to increase the force of suggestion by embodying 
it, so to speak, in a material sensation, I suggested a feel- 
ing of warmth. The heat took the place of pain. I said 
to the child, 'You feel that your arm is warm ; the 
warmth increases and you have no pain/ I awakened 
the child in a few minutes ; he remembered nothing. The 
sleep had been profound. The pain had almost com- 
pletely disappeared. The child lifted the arm easily to 
his head. I saw the father on the day following, and 
he told me that the pain had disappeared completely, 
and that there was no return of it." 



192 HYPNOTISM. 

The above case is interesting, for it illustrates the way 
in which painful disorders of every description will often 
yield like magic to the influence of hypnotism. Tooth- 
ache, neuralgia, dysmenorrhea, headache and other affec- 
tions of a nervous origin, may often be cured by placing 
the patient in a hypnotic state and stroking the parts, and 
suggesting that the pain has left, never to return. There 
are thousands of victims of the alcohol and drug habits 
that have been cured by hypnotism, while the great 
Charcot and his followers have used it with wonderful 
success in all diseases of the mind and the nervous 
system. 

In conclusion, I will say that wherever hypnotism 
can be applied, it has a large field of usefulness. It is 
simple in practice and deep in theory. As yet no en- 
tirely satisfactory explanation has been made why this 
phenomenon exists, but we know that it does exist, be- 
yond a doubt, and today hypnotism holds a respected 
place in the scientific world. But its nature, like the 
nature of most other mental phenomena, is not under- 
stood, and to the medical practitioner who is wedded to 
drugs, a statement of the results obtained from the 
hypnotic influences may seem like the miracles of some 
ancient Oriental work. 

I do not wish it understood as my belief that hyp- 
notism will ever be the universal curative agent, the 
panacea for all ills, or that it will ever supplant the use 
of cocaine, chloroform, ether or gas as an anaesthetic for 
surgical purposes. My experience with hypnotism has 
been very limited, but I must confess that it has been 
rather satisfactory. 

It is practical when it can be used, but on the other 
hand, it is impractical when we stop to consider that 
only about one in three can be hypnotized, and a smailei 
percentage cured by its use. I really believe that hyp- 
notism has a bright future, and if this chapter has suc- 
ceeded in merely throwing a small ray of light upon the 
subject and robbing it of its mysteries, I will feel that I 
have not wasted my efforts. 



hall's hygienic treatment. 193 

HALL'S 
HYGIENIC TREATMENT. 



Several years ago Dr. Wilford Hall attempted to 
startle the medical world by announcing he had made 
a wonderful discovery of a treatment which would cure 
almost every known form of disease, as well as preserve 
health and prolong life, without the use of medicine. 

The pamphlet which unfolds the secrets of this new 
discovery he sold for $4.00, the purchaser agreeing by 
"pledge of honor" not to divulge the treatment outside of 
his or her family. Physicians were allowed, in addition, 
the right of using the treatment en their patients. His 
theory was this: 

"Disease depends upon the absorption of poisonous 
materials from the colon and rectum. Wash this out 
thoroughly with hot water once or twice a day and dis- 
ease is robbed of its power, death of its terror and the 
doctor of his occupation. Use a large quantity of water, 
one or two gallons ; retain it as long as possible and 
that which is not absorbed can finally be expelled, taking 
with it accumulations which have a tendency to create 
diseases." He claims this to be a sure cure for con- 
sumption and Bright's disease, while all minor ailments 
vanish like mist before, the sun. 

Although this method of flushing the colon has been 
severely criticised by some publications, it is the author's 
opinion that it is not entirely destitute of merit, and in 
well-selected cases much good can be derived from its 
application. 

I have used the "system" several times with marked 
success and quite agree with Dr. J. H. Etheridge, of Chi- 

[13] 



194 hall's hygienic treatment. 

cago, who has reported several cases in the Medical 
Standard, which I believe will be of sufficient interest to 
quote in full. The doctor said : 

"Flushing the colon is a very simple and a very ef- 
fective remedy. The muscular coats of the intestines 
are circular and longitudinal. In the large intestine the 
longitudinal fibres are proportionately longer than in the 
small intestine. Their greater length permits the forma- 
tion of loculi, which become the seat of fecal accumula- 
tions only too often unnoticed by the physician. It is 
undoubtedly a fact that the loculi of the colon contains 
small fecal accumulations extending over weeks, months 
or even years. Their presence produces symptoms vary- 
ing all the way from a little catarrhal irritation up to the 
most diverse, and in some instances serious reflex disturb- 
ances. When the loculi only are filled, the main channel 
of the colon is undisturbed. Occasionally a loculus will 
become greatly enlarged and filled with feces, reaching 
even to the size of a fetal head, being mistaken for an 
ovarian tumor or a malignant growth of some abdominal 
organ. The most common part of the colon to become 
enlarged is the sigmoid flexure and the ceacum. Ac- 
cumulations can occur in any part of the colon. The 
ascending colon is much more often filled in life than 
the books would lead us to believe ; indeed, it may be said 
that chronic accumulations are oftener to be found in 
the ascending than the descending colon, which is also 
contrary to the assertions of the authors. When the 
accumulations are large, the increased weight of the 
colon tends to displace it ; then the transverse colon may 
descend even into the pelvis. The colon may be filled 
in an adult so as to present a circumference of fifteen 
inches. These accumulations vary in density; they may 
be so hard as to resist the knife, and thus be mistaken 
for gall stones. 

"The mass may be so enormous as to press upon any 
organ located in the abdomen, interfering with its func- 
tions ; thus we may have pressure on the liver that arrests 
the flow of bile, or upon the urinary organs, crippling 
their functions. Reported cases of accumulations almost 



195 

surpass human credulity. Enough has been gathered 
from the colon and rectum to fill a common-sized pail. 
Of course such enormous amounts occur only excep- 
tionally; it is not to these that attention is particularly 
drawn in this paper, because where they are so ex- 
cessive, any physician can detect them by palpation. It 
is to the minor accumulations particularly that I wish to 
draw attention — the accumulations that we see in the 
majority of patients who visit our offices. Such patients 
assure us that the bowels move daily; but the color 
of their complexion, the condition of their tongue, and, 
above all, the color of the feces, are enough to assure us 
that they are the victims of costiveness. 

"Daily movements of the bowels are no sort of a 
sign that the colon is not impacted ; in fact, the worst 
cases of costiveness that we ever see are those in which 
daily movements of the bowels occur. The diagnosis 
of fecal accumulations is facilitated by inquiring as to the 
color of the daily discharges. A black or a very dark 
green color almost always indicates that the feces are 
ancient. Prompt discharge of food refuse is indicated 
by more or less yellow color. It would be interesting to 
inquire why fresh feces are yellow and ancient feces are 
dark. 

"Absorption of the feces from the colon lead to a 
great many different symptoms ; amongst others anaemia, 
with its results, sallow or yellow complexion, with its 
chloasmic spots, furred tongue, foul breath, and muddy 
sclerotics. Such patients have digestive fermentations 
to torment them, resulting in flatulent distension which 
encroaches on the cavity of the chest, which in excessive 
cases may cause short and rapid breathing, irregular 
heart action, disturbed circulation in the brain, with 
vertigo and headache. An over-distended caecum or sig- 
moid flexure, from pressure, may produce dropsy, numb- 
ness or cramps in the right or left lower extremity. A 
physical examination that will determine this impac- 
tion is simplicity itself. By placing the patient on the 
back, with the knees well drawn up, the physician can 
place one hand on the abdomen, below the tenth or 



196 hall's hygienic treatment. 

eleventh cartilage, with the fingers of the other in the 
posterior hypochondriac region. The ascending or de- 
scending colon can easily be pressed forward against the 
hand in front of the abdomen. The hand in front should 
be kept firm and immovable. A little practice will enable 
one to very readily distinguish these accumulations. 
Conjoined manipulation only enables one to decide the 
incontestable presence of impaction of the colon. Per- 
cussion sounds may be so obfuscated by adventitious 
circumstances as to render them valueless. Conjoined 
manipulation can be very quickly practiced, and is the 
most satisfactory method of examination. Its only un- 
certainty of detecting accumulations is in very obese 
patients. In them a flushing will dispel doubts. 

Case I. — Miss O., aged 27, has almost continuous, uni- 
versal cephalagia; pain over the angle of the transverse 
and descending colon, anorexia, functional eye disturb- 
ances, coming on suddenly and often in the day, fre- 
quent dizzy blind spells, vague muscular pain in the 
arms, face yellow, is green around the mouth and nose, 
a greenish yellow all over the head and neck. On the 
21st of May, 1886, first flushing, five pints of water being 
used ; discharges enormous. The appetite at once ap- 
peared ; her spirits immediately improved. Daily flush- 
ings until the 7th day of July. Face almost clear; 
color coming to her cheeks; lips red, digestion perfect, 
and her general health totally changed for the better. 

"Case II. — Mrs. G., aged 32, has very yellow cheeks, 
both covered with chloasmic spots, which extend down 
to the neck ; is costive. Conjoined palpation indicates 
both ascending and descending colon filled. Is losing 
strength ; is anaemic, emaciating. Her husband's poverty 
is causing the most distressing anticipations, and her 
mental suffering almost drives her insane. A daily flush- 
ing was ordered on the 10th of August, 1887, and con- 
tinued until November 2d. After that they were taken 
every other day. On the 25th of February, 1888, she 
reported that the flushing had completely revolutionized 
her health; they had made her feel light and strong; 
they relieved the pressure in the abdomen ; their presence 



HAIR'S HYGIENIC TREATMENT. 197 

caused eructations always. Sleeps better after taking 
one. In fact, if she finds that insomnia be upon her, 
she takes a flushing, and is sure to sleep soundly there- 
after. Eating when fatigued will be followed by great 
tympanites, which a flushing is sure to relieve. Form- 
erly had great acidity of the stomach ; now she never 
has it. Formerly she used to have a headache, with 
vomiting and prostration, lasting thirty-six hours every 
two or three weeks, since August she has not had one. 
Urinates very freely after using flushing, which lightens 
her very much. 

"Case III. — Mrs. R., age 29, has had chronic digestive 
disturbances; a poor breakfaster for years; has gastric 
dyspepsia characterized by pain, load, weight, gas, acid 
and bitter pyrosis; could eat but few things, butter es- 
pecially distressing her; constipated and costive since 
girlhood ; for years had a sense of pressure in the rectum ; 
at times of late has had it all the time. Flushing first 
given the 17th of May, 1887, twice per week, at bed time. 
At first they produced pain and nausea, and once vomit- 
ing followed. These adverse symptoms were relieved 
when the water passed. The discharges from her bowels 
were simply enormous. They were continued until she 
passed yellow feces. On the 28th of June she was eating 
everything. She became a good breakfaster. On the 
1st of August she was doing all her own housework, the 
first time in three years. 

"Case IV. — Miss C, age 30, always constipated, very 
muddy complexion, chloasmic spots all over her face, 
capricious appetite, seeks relief for a progressively in- 
creasing nervousness, which has been upon her the past 
three years, and is very much worse in the past six 
months, and threatens to lead her to a suicide's grave. 
She experiences sudden misgivings; she has nervous 
prostration; colon filled to an enormous extent. Flush- 
ing was used and continued daily for a period of one 
month, when she reported that she was better in every 
way; does not give out any more; is stronger in alt 
things; her complexion is clearing out; the chloasmic 
spots are unchanged ; the appetite decidedly vigorous. In 



198 hall's hygienic treatment. 

this case the fecal reliefs were enormous, and the im- 
provement so rapid that there was no question of their 
being cause and effect. 

"Case V. — Mrs. A., age 34, has been having epileptic 
convulsions since April, 1883, two years subsequent to 
her only confinement. Immediately after her confine- 
ment, in February, 1881, she began to experience nervous 
symptoms, such as numbness, twitching of the left side 
of her body; these increased until convulsions be- 
gan, in April, 1883. From that time until the 
1st of May, 1887, she was under the care of various 
European and American physicians. She had had the 
cervix and perineum closed by operation ; she had had 
almost endless medication; had used hydropathy; but 
still the convulsions continued. Careful examination 
revealed a loaded colon, universal congestion of the 
pelvic organs, and renal insufficiency. It was evident 
that convulsions arose from some trouble upon the left 
side of her pelvis, which in a normal state would not 
produce convulsions, as subsequent events showed, but 
in a congested condition was sure to precipitate con- 
vulsions. This was shown by the fact that the con- 
vulsions were preceded by an intense agitation of the 
muscles of the left lower extremity, which became more 
and more uncontrollable until the convulsions developed 
a pain in the left leg, and could be produced by a pressure 
on the left side of the pelvis. Treatment for left-sided 
sciatica with ether and ice was given immediately after 
confinement. Pain through the pelvis from over-exertion, 
or from too much standing, would be produced in the left 
leg just the same as would be produced by digital 
pressure. There never was a convulsion that was not 
preceded by this disturbance of the left side. Matters 
clearly pointed to the pelvis for treatment for the relief 
of the convulsions. It was considered that if the pelvic 
difficulty could be relieved by any means, that possibly 
the convulsions would be arrested ; accordingly, daily 
flushings of the colon and a diuretic were used ; glycerin 
tampons were also daily used. The amount of relief was 
very great. For weeks the daily report was that the 



hair's hygienic treatment. 199 

flushings came away looking like soap-suds, indicating 
a probable overplus of bile, which seemed to be con- 
firmed by the fact of stomach indigestion and intestinal 
fermentations which she had had for years. 

"The result of the treatment so improved the patient 
that in three months after the beginning ol the flushings, 
etc., the convulsions ceased for a period of nineteen 
months. During that time she again visited Europe, re- 
laxed her vigilance as to the care of her health, returning 
to America in January of the present year. Her face 
showed that she was absorbing feces again, and in vari- 
ous ways she indicated that her trouble was returning. 
Before she left for Europe the pelvic organs were in a 
condition demanding no further treatment. She was 
urged to return to her flushings, which she omitted to do, 
and went straight on her iniquitous course of neglecting 
herself, and in February, about a month later, she had 
one of the most terrific convulsions she had ever experi- 
enced. 

"I believe that the flushings did for this patient wha? 
medicine could not do. They thoroughly evacuated her 
bowels and gave her alimentary canal a chance to absorb 
food instead of feces. I furthermore consider that the 
successful treatment of this patient with medicine, with- 
out flushings of the colon, will be entirely unsuccessful. 

"Case VI. — Miss O., has been having chills daily; 
has a constant bad taste in the mouth ; has vertigo, 
scalding urine; has eczema extensively on the right hand 
and fingers. Examination reveals a loaded colon, al- 
though her bowels move nearly every day. Ordered 
daily flushings of the colon, a daily laxative and the 
potash citrate. In a week the chills ceased entirely, the 
vertigo had disappeared, the urine was improving. Medi- 
cine stopped, and the flushings continued, for a period of 
six weeks, daily. The surprising thing is that, at the 
end of six weeks, the hand was entirely well. 

"The question comes up — Was not the eczematous 
condition of the hand a thing permitted to supervene 
from fecal absorption? 



200 HAIR'S HYGIENIC TREATMENT. 

"Case VII. — Mrs. D., aged 29, has psoriasis covering 
a large portion of her body. She has as much unsound as 
sound skin, has had it more or less since the eighth year 
of her age. She is gouty, has gastric indigestion, head- 
aches every two or three weeks, which always wind up 
with vomiting. After giving her medicines for a period 
of seven months without much benefit, I discovered an 
impacted condition of her colon. The effect of the flush- 
ings seemed to be to relieve her of all dyspeptic troubles, 
relieved her headaches entirely, and at the end of three 
months of using flushings, the psoriasis had almost en- 
tirely disappeared. The last time she was seen a few 
spots of it remained on the abdomen and forearms. 

"The question arises, did the prevention of fecal ab- 
sorption relieve a skin disease? 

"Case VIII. — Mrs. W., age 30, has had headaches for 
years anywhere from once a month to once in four or 
five days, which prostrated her, lasting from six to 
twenty-four hours. She always had- been constipated, 
and strange to say, about the only thing that ailed her 
was headache. Her colon was found loaded. 

"Flushings ordered for a period of three months, with- 
out medicines. The headaches were completely and 
permanently relieved ; her complexion, which had always 
been muddy, cleared up greatly, sending out in bolder 
relief the chloasmic spots which decorated her forehead 
and temples. 

"I have often questioned whether chloasmic spots 
were not due to fecal absorption. These spots are pig- 
mentary matter deposited under the skin. It is a 
physiological fact that all pigments originate in the liver. 
In a condition of health their abnormal deposit we never 
see. It is only when the patient is not well in some way, 
that these spots are noticed. They are infinitely more 
common in women than in men. It is easy to see that 
their sedentary life is more apt to lead in them to the 
filling of the colon. Absorption from the colon produces 
a poisoned blood, which in turn deranges every organ of 
the body, among others the liver. It is possible that the 
action of light, as in photographs, contributes in some 



hair's hygienic treatment. 201 

way to precipitate the deposits of these chloasmic spots, 
because we see them chiefly upon the parts of the body 
exposed to light. 

"The use of a long rectal tube is unnecessary. The 
patient should be placed in a genupectoral position, the 
shoulders thus being lower than the hips. The water 
will be made to descend while anatomically ascending the 
intestines. Patients can be made to receive from one to 
six pints of water in this position without the slightest 
trouble. One of the effects of the water is to distend 
the colon, and in that way pressing away the walls of the 
loculi from the accumulations they fall into the current 
of water, and are passed out while the water is leaving 
the intestine. The patient will oftentimes complain of 
severe tormina ; checking the current of water for a few 
seconds, and will be followed by complete relief. The 
presence of such a strange foreign body in the intestine 
as hot water in many cases excites prodigious peristalic 
activity, thus producing the tormina. Plain hot water 
is all that is necessary to use. The water should be hot ; 
cold or tepid water will not do. It will produce great 
suffering. One patient took the flushings for a fortnight, 
returning vowed she never would use any more because 
they produced such terrific cramps. Upon inquiry it was 
found that she was using tepid water. The subsequent 
use of hot water by her was never followed by a cramp. 
Upon many patients this large amount of water acts as 
a vigorous diuretic. Where patients suffer as well from 
renal insufficiency, I am in the habit of telling them to 
use a pint or a pint and a half of hot water after the 
flushing has passed away, and to lie upon the back with 
hips elevated for half an hour. Thus retaining the water 
it will act as a powerful diuretic. Some patients can ad- 
minister this flushing with the greatest ease, while others 
will develop a most phenomenal awkwardness. I am in 
the habit of telling patients to kneel in the bath tub, wno 
are at all awkward about using these flushings." 



202 TAPE-WORM. 



THE 
TAPE-WORM SPECIALIST 



These gentlemen are, as a rule, not graduates of 
medicine, and often prefix the title "professor" instead 
of doctor to their names. They are either permanently 
located in cities or travel through the country, lectur- 
ing on worms, from a buggy on the street corners of 
small towns, where they display large bottles of the 
different specimens of worms, which they claim to have 
removed. 

They cure all kinds of worms and, by their persuasive 
oratory, make a large portion of their audiences believe 
that they have worms whether they have or not. The 
fact that physicians often overlook the symptoms of 
worms, gives them an opportunity to sway their audi- 
ence by their convincing arguments. 

The treatment of tape-worms is very simple and spe- 
cific. The best remedy, without a doubt, is the tannate 
of pelletierine. This is best administered in the form of 
Tanrat's solution of pelletierine, which is sold in bottles 
containing one adult dose, for two dollars each. I have 
used this in several cases without a single failure. I 
regret that I cannot give the formula of this preparation, 
but it is a preparation like many others used by physi- 
cians, of which the manufacturers hold the vehicle a 
secret, and charge many times the price it is worth. 

If a physician wished to prepare a similar prepara- 
tion, from crude drugs, the following formula comes from 
high authority, and is said to be used with equal suc- 
cess: 

^ Granati 2 oz. 

Pepinis I oz. 

Aspidii oleoresin y 2 dr. 



TAPE-WORM. 203 

Aqua acacia and syrup q. s. ad. 9 oz. 

The granati should be mixed with a pint and a half of 
water and boiled down to seven ounces. The pepinis 
should be deprived of their outer coats and beaten to a 
paste with fine powdered sugar. The aspidii should now 
be made into a emulsion with acacia and the decoction 
of granati, then added to the paste of pepinis and add 
sufficient flavored syrup to bring the mixture up to nine 
ounces. 

One-third of this mixture should be taken in the 
morning after a light diet and laxative the previous day. 
If the first dose is not successful, the second and third 
portions can be taken at intervals of every three hours. 
When the worm comes away the patient should be sit- 
ting on a vessel partly filled with warm water to pre- 
vent the weight of the expelled portion tearing off the 
head. The patient should be instructed never to attempt 
to pull on the worm, for he will always break it and the 
treatment will have to be repeated. 

Another way is to cover a vessel with a piece of 
mosquito netting so that the cloth bags somewhat into 
the vessel. The faeces will readily pass through and leave 
the worm on top, where it can be esaily examined. 

In the larger cities we find German specialists who 
have established a reputation among their countrymen 
for removing tape-worms. They are usually successful 
and their method is worthy of mention. Their procedure 
is as follows : The patient is requested to omit two meals 
and during that time a brisk saline cathartic is given 
until the bowels are emptied, after which, they are 
given a teaspoonful of the ethereal oil of male-fern 
(Merck) in a teaspoonful of warm milk* The patient 
can now lie down and suck a lemon. If the dose nause- 
ates him at the end of two or three hours, the patient 
is given an ounce of castor oil with ten drops of oil of 
turpentine and one drop of Choton oil. After a short in- 
terval the bowels will move copiously and the worm be 
expelled. As son as the worm is expelled it should be 
examined to ascertain if the head is present. 



204 pasteur's method for hydrophobia. 



PASTEUR'S METHOD 



FOR 



TREATING HYDROPHOBIA. 



One of the most successful of the toxin treatments is 
Pasteur's treatment for rabies. From the years 1886 to 
1893 inclusive there were 14,430 cases treated at the 
Pasteur Institute in Paris, with only 72 deaths. This 
leaves a mortality of one-half of one per cent. The 
institute in New York treated 424 cases with but two 
deaths. 

As yet there has never been a microbe discovered 
which is associated with rabies, yet proof is abundant 
that the disease is due to a micro-organism. Pasteur 
found the virus most abundant in the spinal cord of 
the rabid animal and showed that its inoculation upon a 
healthy animal will produce the characteristic symptoms 
of the disease, also that the virus may be attenuated in 
virulence by drying the spinal cord containing it. 

He also found by inoculating on each successive day 
the virus from a cord dried during a shorter period than 
that used on the previous day the animal so treated may 
be gradually made almost certainly secure against rabies, 
either from the bite of a rabid animal or from any 
method of subcutaneous inoculation. Upon these facts 
he founded the preventative treatment of this disease, 
commenced by him in Paris in 1885, which consists 
in the daily inoculation of the bitten person with 
emulsions of gradually increasing virulence, made from 
the dried spinal cord of rabbits that have died from 
rabies. By this procedure chemical substances (toxins) 



pasteur's method for hydrophobia. 205 

produced during the life of some specific organism and 
known to be inhibitory of its growth, are introduced 
into the system of the patient (V. Horsley). 

Dr. Horwitz gives the following as his mode of con- 
ducting the treatment of a case of hydrophobia. 

The substance used for inoculation is perfectly pure 
veal broth, free from microbes, in which has been dis- 
solved a little of the spinal marrow of a rabid rabbit. 
The broth is carefully prepared and put into a glass re- 
ceiver of spherical form with a long neck, hermetically 
sealed. It is then submitted for half an hour, under 
pressure, to a heat of 239 degrees F. This boiling is 
for the purpose of destroying all germs. When per- 
fectly clear it is decanted in one of Pasteur's receptacles. 
To obtain the infected marrow, a rabbit is chloroformed 
and trepanned, the infected broth is injected under the 
dura mater, then the edges of the wound are stitched to- 
gether, and the rabbit is left to recover. 

After the inocculation, rabies declares itself in the 
rabbit at the end of six days. Two or three days later 
the animal dies. The spinal cord is carefully extracted 
and then hung up in a flask containing caustic potash. 
It is placed in a room kept at a heat of 68 degrees F. 
When the infected substance is to be used, a piece about 
a centimetre in length is cut of! and mixed with pure 
broth. The first day the patient receives half a hypo- 
dermic syringeful of broth, with marrow of thirteen days' 
strength. The following day the patient receives a hypo- 
dermic injection of twelve days' strength. Each day the 
marrow is one day younger, the operation being repeated 
daily for twelve days. 

Rabies may be considered a very rare disease and 
many old practitioners have never seen a case. It is 
therefore best for the physician to send the patient who 
has been bitten by a rabid animal to one of the Pasteur 
institutes. He should be accompanied by a piece of 
the medulla oblongata of the rabid animal if possible. 
This will allow the physicians in charge to determine 
whether or not the animal was rabid. 



206 STAMMERING. 



THE 
STAMMERING SPECIALIST. 



The treatment of stuttering and stammering does 
not properly belong to the physician, as they are habits, 
not diseases, and no medicine will have any effect upon 
them ; but as he is often consulted in regard to these 
impediments of speech, a statement of the manner of 
curing them will not be out of place in this work. They 
differ very slightly, one being an inability to pronounce 
certain words, the other to give certain sounds, and by 
persistent effort both are easily overcome. A New York 
professor, who is a graduate of a German college for 
the study of the vocal organs, says : 

"The whole thing is very simple, so simple that you 
will smile when I tell you the sole and only cause of 
stuttering and stammering is careless respiration. 
People who suffer from the impediment have only to 
pause, take in a long breath, and then, opening the mouth 
in the manner laid down in the charts used by elocu- 
tionists, pronounce the word sharply. Have you ever 
noticed the remarkable fact that people who are in- 
veterate stammerers are often accomplished vocalists? 
That is because in the act of singing respiration is done 
in a proper way. 

"A novel fact is that the troubles of stammerers or 
stutterers lie entirely with the vowel sounds. Patients 
do not seem to understand this. In describing their 
cases they will tell me that they have difficulty in sound- 
ing 'p' or 'd.' That is where they are wrong. They 
sound the consonant all right, but stagger at the vowel. 
A patient comes to me, and I say to him, 'Say papa.' He 
will commence, 'P-p-p-p-p, oh, professor, I c-c-c-c-c-c-an't 
say p-p-p-p-p-papa.' 



STAMMERING. 207 

"It is at once apparent that his trouble lies with the 
vowel 'a.' Then the treatment commences. Standing 
before him, I suggest that he take a long breath through 
the partially closed mouth until the lungs are well filled, 
and then, at the moment of exhalation, following my 
direction, he opens the mouth in the proper manner, as 
indicated by a chart, and pronounces with me in a high, 
mechanical voice, 'pawpaw.' This is often repeated, the 
vowels being changed. 

"From words we pass on to sentences and so on to 
introduce in close connection all the vowel sounds. The 
respiration before each vowel sound is necessary. The 
treatment therefore consists in forming this habit. As 
the patient pupil progresses, the length of this respira- 
tion is reduced, the pronunciation is made in a lower 
pitch and in a few weeks, rarely over five, the most in- 
veterate stutterer can talk fluently and rapidly with no 
sign of his former affliction. But eternal vigilance is 
necessary. 

"Should the apparently cured patient become care- 
less and forget the necessity of respiration as taught him, 
he may relapse into his former state, and then his train- 
ing must be done all over again. A boy of sixteen 
years of age was brought to me. His was a stubborn 
case, but in six weeks I had him talking all right. Time 
passed on for two years. I frequently saw the boy at 
his father's house and was delighted with the cure. Last 
summer he came to my institute. He was as badly off 
as when I first met him. 

"It seems that his father had sent him on a short 
business trip to Europe, away from the restraining in- 
fluence of the father, whose ears were always alert for 
any return of his son's affliction, and, much disturbed 
by the noise of the vessel's machinery, he became care- 
less, and having once relapsed he became worse every 
day, and was really forced to shorten his stay abroad and 
return to New York for treatment. 

"He was a bright lad, who readily applied himself to 
my rules, and in a week he was all right again. As a 



208 STAMMERING. 

matter of fact, he need not have come back to me, but 
could have applied his old lessons with success. 

"The German government has long recognized the 
importance of rational treatment of vocal impediments, 
and school children afflicted in this manner are put 
through a regular course by graduates of the college 
at Frankfort, where this specialty is taught in the govern- 
ment employ. The German treatment is that of ele- 
mentary training in elocution. 

"The habit of imperfect respiration is generally found 
in connection with some diseases of childhood like the 
measles, but a most frequent cause is unconscious imita- 
tion. One stuttering child in a family will set all the 
others to struggling with the vowel sound. An adult 
in conversation with a stuttering person finds it difficult 
to speak without stammering." 

In this city there is an institute for the cure of stam- 
mering and stuttering, and I have an acquaintance who 
took the course and was at the institute for about three 
weeks. Through this gentleman I received the follow- 
ing information, although the professor is very careful 
to keep his methods a secret, and I believe each student 
is required to sign an agreement not to teach or expose 
his methods. 

A synopsis of the treatment is as follows: The first 
day or so the student is "put in silence," that is, he is 
not allowed to speak a word to anyone. After this, he 
is taught to pronounce each word in syllables and at 
the same time mark each syllable by waving his fingers 
in very much the same way as a director of a band or 
orchestra marks the time of music. To illustrate, have 
the person take a full breath and repeat the following 
sentence and words : "Breathes-there-a-man-with-soul- 
so-dead, who-nev-er-to-him-self-hath-said, this-is-my- 
own-my-nat-ive-land. Con-stan-ti-no-ple ; Phil-a-del- 
phi-a." You will see that each syllable should be pro- 
nounced separately and each word and each syllable 
marked by a right angular wave of the finger or hand, the 
same as a musician marks time. As the pupil progresses, 



STAMMERING. 209 

he can combine the syllables of words and pronounce 
them as one. 

This is what he called "the method," and it is sur- 
prising to notice how well many extreme stammerers 
can speak after following this method for a few days. 
The method was, no doubt, founded upon the knowledge 
that stutterers could sing with as free flow of words as 
others, and by using this method, he is practically sing- 
ing his conversation without any tune. He gradually 
overcomes the sing-song conversation and talks as freely 
as others. In connection with the method the student 
is given exercises in breathing and pronouncing different 
vowels, reading sentences, etc. 

This is a very simple method and I believe one of 
the best, for it will cure a large percentage of cases, 
if patients will be persevering and persistent. 



" Glorious their aim to ease the laboring heart, 

To war with Death and stop his flying dart. 

To trace the source whence the fierce contest grew 

And life's short lease on easier terms renew, 

To calm the frenzy of the burning brain 

To heal the tortures of imploring pain ; 

Or, when more powerful ills all efforts brave 

To cure the victim no device can save 

The yet may smooth the stormy passage to the grave. 



[14] 



210 SECRET PRESCRIPTION WRITING. 

SECRET 
PRESCRIPTION WRITING. 



Very often we find physicians who wish to have 
their prescriptions filled at a certain drug store, either 
because they think they have better drugs or else be- 
cause they receive a percentage on prescriptions or per- 
haps they have an interest in the store. This has caused 
different secret systems of prescription writing to be 
introduced. The following very simple method has been 
used in some places and is a very convenient way to 
write prescriptions. 

By the use of this system all medical ingredients are 
divided into grains, minims, and drachms. If the drug 
is a solid, it is designated either as grains or drachms, 
if a liquid, either minims or drachms. Grains and minims 
are distinguished from drachms by the position of the 
period. If the period appears at the right of the number, 
it either means grains or minims (i. one grain or minim) ; 
if at the left of the number, it signifies drachms (.1 one 
drachm). To illustrate, the following perscription will 
give the symbols of both ways of writing the same 
prescription : 

IJ Strychnine nitrate y 2 . equals ^2 gr. 

Tinct. capsicum 20. equals 20 min. 

F. E. cinchona com 6 equals 6 dr. 

Simple elixir q. s. ad. .32 equals 4 oz. 

M. Sig. A teaspoonful every hour as a "bracer" for 
debauch. 

For writing prescriptions in this way you should have 
special printed prescription blanks directing the patient 
to the pharmacy where it is to be filled or tell the patient 
that he can get it filled only at that certain store. 

To the pharmacist who is not familiar with this way 
of writing prescriptions it is rather puzzling and some 
will refuse to fill the prescriptions altogether, while 
others will attempt to guess it out, which might act to 
the disadvantage of the prescriber. 



NOSTRUMS. 211 



THE 
NOSTRUM SPECIALIST. 



Nostrum venders should not be classed under the 
title of specialists, but most nostrums have a specialist 
at their helm, who is exercising great energy for the 
sale of his preparations. The amount of money spent 
in advertising the so-called patent medicines will reach 
into the millions every year, and the methods of ad- 
vertisers has created quite a rivalry, and we often see 
one attack another through printer's ink. 

There has been hundreds and hundreds of nostrums 
offered for sale, and while many of them have only be- 
come popular in certain localities, others have gained a 
national or international reputation, depending some- 
what upon the amount of money, energy and cleverness 
displayed in advertising them. It is the author's belief 
that any preparation with a reasonable degree of merit 
can be sold if it is placed before the public in the right 
light, and the amount of popularity gained will depend 
altogether upon the "man behind the gun." To illustrate 
the great and small, I will give some instances which 
have come to my notice. 

ESTABLISHING THE SALE OF NOSTRUMS IN 
SMALL COMMUNITIES. 

Several years ago I had a friend who was conducting 
a drug store in a small city. One day we entered into 
a discussion regarding the profit made in patent medi- 
cines. I argued that any meritorious preparation could 
be manufactured at about one-third the cost of nostrums 
and would find a ready sale, if the same amount of money 
was expended in advertising; he decided to test the 
project and made up a quantity of King's Consumption 



212 NOSTRUMS. 

Cure, after the formula given on another page. The 
preparation was identical with King's Consumption Cure, 
except that he added more caramel to give it a deeper 
color. This was cartooned and labeled nicely and placed 
upon the market under the name of Halwood's Cough 
Cure. By keeping his advertisement persistently before 
the public, he has created a great demand for the prepara- 
tion, which to-day is bringing him a greater profit than 
all the rest of his drug business. Although the prepara- 
tion is only known in one county, there is no doubt that 
if he would exercise more energy and use more capital, 
he would create a demand for the preparation through- 
out the state, or perhaps the United States, and it would 
gain the same popularity as the original ; but he is con- 
tented with his lot. One county satisfied his ambition. 
This is given to show how the sale of a nostrum can be 
limited or expanded according to the ambition of the pro- 
prietor. 

There are several other ways in which patent med- 
icines have been brought before the public. Most of 
the Indian remedies have been introduced through 
Indian medicine companies, who travel from town to 
town ; pitch their tents on some public thoroughfare and 
give an Indian show. The presiding professor tells the 
story of the skill the Indians possess in selecting remedies 
for the sick and suffering (?). The New Idea gives the 
following regarding a company that visited this city a 
few years ago for the introduction and sale of 

HARTLEY'S SOUTH AMERICA CURE. 

"During the summer of the present year a man calling 
himself Prof. Hartley occupied a vacant lot in Detroit, 
with a large tent, lighted by electric light, wherein he 
had immense audiences every evening during his stay, 
which lasted some two months. The professor gave a 
short lecture upon a South America cure, which he 
stated to be composed of roots, herbs, seeds, barks, and 
flowers growing exclusively in South America, and used 
for centuries by the Araucanians, a tribe of people who 



NOSTRUMS. 213 

inhabit the western slope of the Andes, in the southern 
part of Chili. During his lecture the professor managed 
to give the audience to understand that this wonderful 
medicine performed more cures of indigestion, dyspepsia, 
catarrh, rheumatism, liver complaints, and kidney dis- 
eases, than any other medicine on the face of the earth. 
Being curious to know something more concerning the 
internal constitution of this South America Cure, we pur- 
chased a bottle, and subjected it to an analysis, according 
to which we find that it consists of fluid extract of rhu- 
barb, 8 parts ; flui^ licorice and anise, each 2 parts ; fluid 
capsicum, 3/3 part ; fluid aloes, % part ; alcohol, 6 parts ; 
water enough to make 32 parts, to which a small per- 
centage of sodium bicarbonate is added, about ten grains 
to the ounce. How is this for a South American cure, 
which country does not furnish to commerce one in- 
gredient in the nostrum? It is asserted that nearly 60,000 
bottles were sold in Detroit in a few weeks that this so- 
called professor held forth." 

Other medicine firms depend exclusively upon news- 
papers, circulars, and sarhpling, free prescriptions, etc. 
The following will give you an idea of the way the 
free prescription fake schemes are worked: 

DR. CHURCHILL'S PRESCRIPTIONS. 

The "Churchill Prescriptions" are still being sent out 
"free." As this particular form of the "sands of life" 
kind of philanthropy will be new to some readers, we 
will copy literally, as a sample, one of the prescriptions, 
which is for "nervous debility," etc. : 

^ Pareira brava % oz. 

Hydrastis C y 2 oz. 

Peruvian bark calisaya y 2 oz. 

Bromide potassium y 2 oz. 

Carbonate lithia 1 dr. 

The "mode of preparing" is given as follows : 
"Put one-quarter ounce pareira brava to one ounce 
of boiling water ; let it stand for two hours ; then add 
of finely powdered hydrastis C, one ounce ; mix well and 



214 NOSTRUMS. • 

reduce to the consistency of syrup by evaporation. Put 
one ounce Peruvian bark calisaya to two ounces of boil- 
ing water; let it boil five minutes; then filter and add 
one and one-half ounces bromide potassium. Wash two 
drachms in the salts of carbonate lithia in proper vessels, 
and add all the ingredients together, and heat on a slow 
fire in a close covered vessel to ioo degrees specific 
gravity; remove it to a mortar, pulverize well, and 
triturate. Divide the whole mixture into fifteen powders." 

The reader is warned in the customary fashion 
against "unprincipled druggists" who undertake to pre- 
pare the "prescriptions" as "best they can," and is invited 
to send to the advertiser for the "remedies." 

The difference between these prescriptions and the 
"Blodgetti" and "Arabian sea-grass" operations is, that 
the former direct nothing but medicines that really exist, 
but cannot be "compounded" according to the absurd 
directions, which appear very learned to the average 
reader. 

The only course left open to a conscientious pharm- 
acist who is asked to prepare such a prescription, is to 
inform the customer of its exact nature, and to "back up" 
his statements by the Circular, in which he will find all 
such schemes explained as they arise. As people seem 
to take more kindly to what they see in print than to 
what is told them by a familiar acquaintance, this plan 
has been found to work well ; the pharmacist sustaining 
his reputation for knowledge and ability. 

CORRASSA COMPOUND. 

Another free recipe for the permanent cure of 
spermatorrhoea, seminal weakness, involuntary emis- 
sions, impotence, etc. : 

^ Extract of corrassa apimis 8 dr. 

Extract of salarmo umbellifera 4 dr. 

Powdered alkermes latifolia 3 dr. 

Extract of carsadoc herbalis 6 dr. 

Mix well together in a mortar, then put the mixture 
in a box and keep it covered, or wrap it in paper and 



NOSTRUMS. 215 

cover with tinfoil to exclude the air. For a dose, take 
about one-half a tea-spoonful of the mixture, and moisten 
it with a little cold water in a glass or cup, then add about 
two table-spoonfuls of cold water, or just enough to enable 
you to take it down easily. Take the medicine at night 
before going to bed, and in the morning before eating. 
If you wish to sweeten it you may add as much sugar or 
syrup to each dose as may suit your taste. 

REMARKS. 

The above named herbs, so remarkable for their heal- 
ing qualities, are found in the great valleys of the Am- 
azon and through most of the valleys of the South 
American mountains. Their wonderful medicinal prop- 
erties are known to the Indian medicine men, and also 
to some of the learned missionaries from Europe, who 
reside in South America. 

This particular combination of remedies is called 
the Corrassa Compound, taking its name from the first 
of the four medicines which compose the recipe when it 
is ready for use. 

The Corrassa Compound acts particularly on the 
membranes which line the urinary and genital organs, 
allaying irritation, curing the unhealthy discharges, and 
imparting a healthy tone to the nerves and tissues which 
compose these parts. Its tonic properties give strength 
to the weak and incompetent, while its soothing prop- 
erties keep down over-excitement of the sexual organs. 
In gonorrhoea or gleet this medicine cures almost like 
magic. It is also highly beneficial for females who suf- 
fer from leucorrhoea or whites. 

This remedy from South America (the land sf medi- 
cines) is entirely a product of the vegetable world. No 
deleterious ingredients enter into its composition; no 
injury to the constitution can possibly occur from its 
use, and no other remedy will so effectually eradicate 
mercury and other mineral poisons from the body. On 
the human system it acts like a charm. It improves the 
digestion, purifies the blood, gives tone to the nerves, 
prevents the tendency to consumption, imparts to the 



216 NOSTRUMS. 

skin a fresh bloom, and gives to the countenance an ani- 
mated and brilliant expression. The good effects of this 
medicine in my own case you will find related in the 
following circular, which you will please read. (Extract 
from accompanying circular.) 

Following this the Rev. Jos. T. Inman tells a 
plaintive story of how he suffered from the effects of 
his youthful indiscretions ; how he tried all the best 
physicians in America and Europe ; how at last his 
friends managed to transport him in the good ship Rein- 
deer, R. I. Marsh, captain, to Para, South America, to 
spend his last hours as a missionary among the heathen. 
While there he devoted his "spare time to the study of 
medicinal plants," and while doing so, "first learned the 
virtues of the Carrassa Compound," and also made the 
acquaintance of a "learned and venerable physician 
named Ferandez Colina, a native of Spain, who had 
studied in Paris, and had traveled extensively through 
South America." 

All of this is intended to frighten and obtain money 
from the hoped-for victim. No such drugs as are given 
above being in existence, the dupe is expected to pur- 
chase them from the "Reverend" Inman. 

This wonderful ( ?) preparation having been analyzed 
by Dr. A. B. Lyons, of Detroit, was found to consist of: 
^ Gentian 15 per cent. 

Licorice 15 per cent. 

Sugar 50 per cent. 

Sodium bicarb ij 1 /* per cent. 

Cochineal 2^4 per cent. 

All in fine powder. — {New Idea.) 

THE RAPID METHOD OF CREATING A LARGE 

DEMAND FOR NOSTRUMS. 

One of the most novel and profitable ways of intro- 
ducing patent medicines was told me by a druggist, who 
was formerly proprietor of a drug store in northern 
Michigan, and I think the story will be sufficiently in- 
teresting to repeat here, from the fact that the company 



NOSTRUMS. 217 

is now located in Columbus, Ohio, and is among the 
largest of patent medicine advertisers, as it spends sev- 
eral hundred thousand dollars every year in advertising. 
This company had three preparations for which it wished 
to create a rapid demand, and its method was to send an 
advance agent to various given points, to contract with 
some local druggist to place so many gross of each 
kind of medicine in his store for sale. The drug- 
gist was not to pay for the medicines until they were 
entirely disposed of, when he was expected to pay the 
regular wholesale price. After making the contract with 
only one store in each place, the advance agent immedi- 
ately commenced to circularize the entire population not 
only of the city, but of the country for many miles 
around. The circulars conveyed the information that a 
certain specialist of wonderful skill and ability would 
visit that city for the purpose of healing the afflicted. 
The physician was billed as a philanthropist of the 
highest character, and under no consideration would he 
accept any remuneration for his services, his skill being 
absolutely free and at the command of the sick and 
suffering. 

THE SPECIALIST ARRIVED. 

As early as six o'clock in the morning the hotel 
parlors were packed to their fullest capacity. Each 
patient was handed a card giving instructions how to ap- 
proach the doctor, a part of the advice being to "ask the 
doctor no questions, as he can tell your ailments better 
than you can describe them yourself. Each patient will be 
allowed only five minutes' consultation," etc. When the 
patient was admitted to the consultation room he was 
given a seat and the doctor then proceeded to describe 
his ailments in very much the same manner outlined in 
the chapter on the Observing Specialist. The doctor 
then dictated a prescription to his stenographer, which 
consisted principally of fictitious names of pharma- 
ceutical products, handed it to the patient and dis- 
missed him. 



218 NOSTRUMS. 

THE DOCTOR'S UNDERSTANDING WITH THE 
DRUGGIST. 

It was understood between the physician and drug- 
gist that any prescription he sent him, containing a six- 
teen-ounce mixture would be the preparation he left at 
the store, containing the same amount of medicine 
(which is supposed to be a mild cinchona tonic). The 
twelve and fourteen-ounce mixtures were also identified 
in the same way. The physician did not always confine 
his prescribing to the stereotyped preparations at the 
store, but often added a little nux vomica or other medi- 
cines he thought the patient required. The druggist 
supplied the doctor with prescription blanks, with the 
name and address of his store, which was supposed to 
be the only store in the city where the prescription 
could be compounded. The physician instructed the 
druggist to remove the original labels the preparation 
contained, and replace them with the regular druggist 
label with Sig. The gentleman who conducted the store 
told me that the financial receipts for the prescriptions 
that day amounted to several hundred dollars, but they 
did not end there, they continued to fill the same pre- 
scriptions for several years afterwards, and thus created 
a demand for the nostrums which I suppose are still sup- 
plied by the same company. 

This method has proven to be one of the most suc- 
cessful methods of introducing nostrums that the author 
has any knowledge of, for today the company is rated 
at over a million dollars, and it did not take the doctor 
and his staff over two years to visit most of the prin- 
cipal cities of the United States, and thus cover the en- 
tire country. 

THE COST OF NOSTRUMS. 

In the preceding paragraphs we have outlined some 
of the ways of promoting the sale of nostrums. We will 
now discuss the cost of nostrums. My attention was first 
called to this subject by an article which appeared in the 
Indiana Pharmacist, in which it said: 



NOSTRUMS. 219 

"Why should you pay $1.90 a dozen for Bull's Cough 
Syrup, when you can put up a better article containing 
no opium, giving three times the quantity for the same 
money, at a cost of but 46 cents a dozen ? 

Here is a formula for a most excellent cough syrup : 

I£ Fl. ext. ipecac 2 oz. 38 cents. 

Chloroform ^2 oz. 2 cents. 

Tinct. white pine 8 oz. 14 cents. 

Water 28 oz. 

Sugar 56 oz. 25 cents. 

Magnesia carb 2 oz. 3 cents. 

Tinct. gelsemium 1 oz. 2 cents. 

Total 84 cents. 

This makes five pints of the finished product, which 
put up in three ounce ball-neck panels, holding 2^ 
ounces, would make 3% dozen bottles. The cost of the 
bottles would be 50 cents, and the labels, wrappers, etc., 
would cost not more than 10 cents, making a total cost 
of $1.44 for three and one-sixth dozen syrup, or about 
46 cents a dozen, as against $1.90 a dozen for Bull's. 

Take the subject of bitters. None of the patents can 
be bought for less than $7.00 a dozen, and from that up 
to $8.50. They retail for $1.00 where "cutting" is not 
known. Take the following formula : 

^ Cinchona bark, red 8 oz. 30 cents. 

Gentian root 8 oz. 5 cents. 

Columbo root 8 oz. 10 cents. 

Juniper berries 8 oz. 3 cents. 

Glycerine 8 oz. 9 cents. 

Alcohol 1 part. 

Water 3 parts. 

To make one gallon of finished product. 

Have the drugs ground to a coarse powder, pack in 
a percolator, pour on menstruum until the top of the drug 
is evenly covered. When the percolate begins to drop, 
insert a cork in the percolator, cover the top, and allow 
the contents to macerate 48 hours. Then proceed to ob- 



220 NO TRUMS. 

tain 73/2 pints of percolate, to which add the glycerine. 
Flavor with oil of wintergreen. 

This makes eight pints of finished product, which 
put up in pint bottles, sells for $1.00 a bottle. The 
bottle costs 25 cents, and the labels and wrappers not to 
exceed 10 cents, making a total cost of $1.50 for eight 
bottles, or $2.25 for a dozen, as against $7.00 to $8.00 
for the regular nostrum. 

For a blood purifier that will "do the work every 
time:" 

I£ Fl. ext. sarsaparilla 8 oz. 50 cents. 

Fl. ext. stillingia 8 oz. 25 cents. 

Fl. ext. yellow dock 8 oz. 25 cents. 

Podophyllin 24 gr. 3 cents. 

Aqua 2 pt. 

Elix. simplex 2 pt. 23 cents. 

Alcohol 2 pt. 55 cents. 

Iodide potash 1 oz. 18 cents. 

Mix and filter. Put up in paneled 14-ounce bottles. 
This will give nine bottles to the gallon. The bottles 
will cost 26 cents, label and wrappers 10 cents, making 
a total cost of $2.35 for nine bottles, or $3.13 a dozen, as 
against $7.00 to $8.50 a dozen for the much-vaunted 
nostrums that are generally only a solution of epsom 
salts, colored and flavored. 

For a kidney cure, one that invariably brings back 
the customer, recommends itself and makes business 
brisk : 

^ Fl. ext. buchu 8 oz. 35 cents. 

Fl. ext. pareira brava 4 oz. 20 cents. 

Fl. ext. stone-root 4 oz. 20 cents. 

Acetate potass 4 oz. 15 cents. 

Holland gin, best . .8 oz. 20 cents. 

Simple elixir, to make 1 gal. y2 cents. 

Mix. Filter and put up in bottles holding eight 
ounces, plain or paneled, as best suits. The bottles will 
cost 44 cents, and the labels and wrappers 10 cents, mak- 
ing a total cost of $2.35 for 16 bottles, or $1.77 a dozen. 






NOSTRUMS. 221 

This can be sold for 50 cents a bottle, and will afford a 
much better per cent, and larger profits than Warner's 
nostrums and do the patient some good. 

For a liniment for general purposes, that will relieve 
pain and soreness, giving much better satisfaction than 
St. Jacob's oil: 

3J Soap liniment 5 pt. $1.10 

Aqua ammonia 2 pt. .12 

Tinct. opium 1 pt. .60 

After reading the above article it occurred to me that 
physicians might need a little of the same advice, when 
we stop to consider the number of pharmaceutical prep- 
arations, which are offered to the medical profession at 
an enormous advance in price, and the only defense their 
manufacturers can offer, is that their products are "chem- 
ically pure," which is no doubt true, but when we have 
access to products from the laboratories of Parke, Davis 
& Co., Merck's and many others, why should we pay 
many times the original cost to have some pharma- 
ceutical manufacturing company place these chemical 
products in an aromatic vehicle? This is well illustrated 
in the preparation Bromidia, Peacock's Bromides, San- 
metto, and others. I would suggest why pay one dollar 
for a four-ounce bottle of Bromidia when you can get 
the identical preparation in purity and therapeutical 
value in the following formula: 

BROMIDIA. 

I£ Chloral hydrate (Merck's).. 1 oz. 11 cents. 
Potassium brom. (Merck's) . 1 oz. 5 cents. 
Fl. ext. cannabis ind. (P. 

D. & Co.) 4 min. 

Fl. ext. hyoscyamus (P. 

D. & Co.) 4 min. 

Caramel q. s. color. 

Aromatic elix q. s. 4 oz. 4 cents. 

The above makes an excellent preparation and only 
represents one of the many stock preparations which a 
physician could prepare and have in his dispensing case 
at little expense. 



222 NOSTRUMS. 

Perhaps no greater illustration can be made in the 
way chemical products have been sold to physicians, at 
fancy prices, than in the different ways acetanilid has 
been introduced. The cheapness of this remedy (fifty 
cents a pound) makes it a very profitable preparation to 
compound with other remedies, and dispose of under a 
"framed name." Dr. Potter's Materia Medica gives the 
following regarding some of the preparations this drug 
is supposed to largely enter: 

AMMONOL. 
A proprietary antipyretic and analgesic, claimed to 
possess unusual stimulating and expectorant properties 
due to the loosely combined ammonia in its composition. 
Beringer concludes that it is merely an admixture of : 

I£ Acetanilid 2 parts. 

Sodium bicarbonate 1 part. 

Ammonium carbonate 1 part. 

With a minute quantity of the dye metanil — yellow. 
A similar mixture is used at the Philadelphia Hospital 
under the name ammoniated acetanilid, which con- 
sists of: 

5 Acetanilid 2^ gr. 

Sodium bicarbonate I 1 /* gr. 

Ammonium carbonate 1 gr. 

This for a minimum dose. Dose of ammonol or am- 
monol salicylate gr. v-xx. 

ANTIKAMNIA. 
Ts a proprietary preparation widely advertised as an 
antipyretic and analgesic. Analysis of several samples 
have been made by different chemists, all of which agree 
in finding the chief ingredients to be acetanilid and 
sodium bicarbonate in varying proportions. By some 
observers caffeine was detected, also tartaric acid, etc. 
The preparation is formulated by the latest analysis as a 
mixture of : 

^ Acetanilid 70 parts. 

Sodium bicarbonate 20 parts. 

Caffeine 10 parts. 

Dose, gr. v-xv, in powder or tablets. 



NOSTRUMS. 223 

ANTIKOL. 

I£ Acetanilid 75 parts. 

Sodium bicarbonate 17^ parts. 

Tartaric acid 7^2 parts. 

Dose, gr. v-xv. — {Squibb.) 

ANTINERVIN. 

I£ Acetanilid 2 parts. 

Salicylic acid 1 part. 

Ammonium bromide 1 part. 

Dose, gr. v-xv. — (Ritsert.) 

EXODYNE. 

5 Acetanilid 90 parts. 

Sodium salicylate 5 parts. 

Sodium bicarbonate 5 parts. 

The name sufficiently states its claim to medicinal 
virtue. Dose, gr. iij-x. 

FEBRINOL. 

So-called by its proprietors, is a mixture of acetanilid 
and other inert substances, advertised at one-half the 
price of similar coal-tar preparations. 

PHENOLID. 

^ Acetanilid 58 parts. 

Sodium salicylate 43 parts. 

And competes with the above as a panacea. Dose, 
gr. V-xv. 

I am not aiming to do an injustice to the manufac- 
turerers of the different non-secret preparations, which 
are offered the medical profession, but I only wish to 
point out the large revenues they receive for adding an 
aromatic vehicle and favorably impressing the profession 
that their preparations offer special advantages, because 
they are chemically pure and pharmaceutically correct. 

PHYSICIANS AND NOSTRUMS. 

Many physicians are, generally speaking, no different 
from the laity, and often entertain some of the mysteries 
which hover around the healing art, and place more value 
upon a remedy of which they know little of the contents, 



224 NOSTRUMS. 

than they do on their own knowledge of medicine. The 
principal thing they are seeking is "results," and with 
this end in view prescribe nostrums, with the same grace 
and dignity as a grandmother will goose-oil. 

I have seen many physicians prescribe such nostrums 
as Hive Syrup, Castoria, Trask's Ointment and others of 
a similar character, when superior treatments were at 
their command. This practice has become as profound 
a habit with some physicians as tobacco has with others; 
on the other hand the medical journals contain advertise- 
ments of several preparations which are nostrums in the 
broadest sense of the term. To illustrate, Micajah's 
Uterine Wafers, which are sold at fancy prices, do not 
compare, in results, with those which can be obtained 
from the use of the extra-uterine application, given on 
another page. 

If the practice of medicine is the exercise of medical 
art, and embraces all that pertains to the knowledge of 
medicine, my plea is to broaden our knowledge to the 
extent that we may prescribe knowingly, intelligently 
and specifically in each case, and abandon as far as pos- 
sible "shot gun therapeutics." 

THE FORMULAE OF NOSTRUMS. 

It is the author's belief that most physicians will ap- 
preciate a collection of the formulae of the most prom- 
inent secret nostrums, and for several years I have been 
extracting these formulae from medical journals, books, 
newspapers, etc., and in addition to the formulae already 
given throughout this volume, I will add several more. 
Preserving these formulae in a convenient form for 
ready reference, affords many advantages, as patients 
will often ask physicians regarding the contents of a cer- 
tain patent medicine, and by referring to this collection, 
he can not only supply them with the information, but 
encourage them to abandon their use for a more thor- 
ough course of treatment, as their case may require. 

In cases of poisoning from patent medicines, which 
is not of infrequent occurrence, this allows the physician 
to select the antidote. It also gives your patient to 



NOSTRUMS. 225 

understand that you are familiar with the ingredients 
these preparations contain, and you cannot recommend 
their use, because you can furnish a more specific course 
of treatment. Although some of these medicines have 
a certain degree of merit, many of them are of little or no 
value, as their formulae will indicate. Out of curiosity 
I have had several of these formulae compounded and 
compared them with the original, to ascertain whether 
or not there was a resemblance, and if they could be 
prescribed with equal therapeutical results, and I am sur- 
prised at the success obtained in many cases. 

I, in no way wish to be held responsible for the cor- 
rectness of all these formulae. The author's name is ap- 
pended in each case, when known. 

ALTERATIVES. 

AYER'S SARSAPARILLA. 

IJ Fluid extract sarsaparilla 3 oz. 

Fluid extract stillingia 3 oz. 

Fluid extract yellow dock 2 oz. 

Fluid extract may apple .2 oz. 

Sugar 1 oz. 

Iodide potassium 90 gr. 

Iodide iron 10 gr. 

Mix. — (Chicago Druggist.) 

BULL'S BLOOD SYRUP. 

^ Iodide of potash. 12 dr. 

Red iodide of mercury 2 gr. 

Tinct. of poke root 3 dr. 

Comp. syrup of stillingia 6 oz. 

Simple syrup, to make 1 pt. 

Mix. — (National Druggist.) 

CLARK'S BLOOD MIXTURE. 

I£ Iodide of potassium 64 gr. 

Chloric ether 4 dr. 

Liquor potash 30 min. 

Water 71^ oz. 

Caramel to color. 

|"1.M 



226 NOSTRUMS. 

The chloric ether is made by dissolving one part by 
weight of chloroform in nineteen parts by volume of al- 
cohol. 

CUTICURA RESOLVENT. 

I£ Aloes, Socot i dr. 

Rhubarb powd i dr. 

Iodide potass 36 gr. 

Whisky I pt. 

Macerate over night and filter. 

— (St. Louis Druggist.) 

EDWARD'S ALTERATIVE AND TONIC BITTERS. 

^ Fluid extract of hops 16 oz. 

Fluid extract of red cinchona 8 oz. 

Fluid extract of sarsaparilla 6 oz. 

Fluid extract of hydrastis 6 oz. 

Fluid extract of podophyllum 4 oz. 

Oil of wintergreen 6 dr. 

Oil of sassafras 3 dr. 

Oil of peppermint 2 dr. 

Oil of lemon 2 dr. 

Sugar 6 lb. 

Alcohol 2 gal. 

Water, enough to make 12 gal. 

Mix. — (Myers Bros.' Druggist.) 

ELIXIR IODO-BROMIDE OF CALCIUM COM- 
POUND. 
^ Bromide of calcium ' .256 gr. 

Iodide of sodium 256 gr. 

Chloride of magnesium 256 gr. 

Iodide of potassium 256 gr. 

Comp. fl. ext. of sarsaparilla 2 oz. 

Comp. fl. ext. of stillingia 2 oz. 

Elixir of orange 4 oz. 

Sugar 4 oz. 

Water to make 16 oz. 

Dissolve the salts in the water, add the sugar and to 
this syrup add the fluid extracts, previously mixed with 
the elixir of orange. After standing two days, filter, add- 
ing water to make the measure sixteen fluid ounces. 



NOSTRUMS. 227 

JAYNE'S ALTERATIVE. 

^ Tartar emetic 4 gr. 

Spirits of camphor i dr. 

Fluid extract of ipecac 4 min. 

Laudanum 2 dr. 

Tinct. of lobelia i dr. 

Syrup of tolu 12 dr. 

tinct. of digitalis I dr. 

Syrup of squills 2 oz. 

Mix. — (National Druggist.) 

PERRY'S COMPOUND SARSAPARILLA BLOOD 
PURIFIER. 

3£ Turkey-corn root 2 lb. 

Stillingia root 2 lb. 

Sarsarparilla root 2 lb. 

Yellow-dock root 2 lb. 

Sassafras bark I lb 

Simple syrup 2 gal. 

Diluted alcohol 32 pt. 

Iodide of Potassa 2 lb. 

Water sufficient 

Percolate roots and bark with diluted alcohol, add 
syrup, then iodide of potassa. Dissolve in water to make 
six gallons. 

Mix. — {Kilner's Modern Pharmacy?) 

DR. RADWAY'S RENOVATING RESOLVENT. 

I£ Potassium iodide 2.5 grm 

Concentrated sarsaparilla decoction. 15 grm 

Bitter almond water 10 grm 

Syrup 30 grm 

Parrish's simple elixir 90 grm 

Distilled water 250 grm 

Caramel sufficient to color. 
Mix. — (H. B. Parsons.) 

RUSSELL'S BOTANIC KING. 
As Dr. Russell states on the label, of a mixture of pow- 
dered extracts of dandelion, mandrake, buchu, yellow 
dock, and peruvian bark, each 10 parts; aloes, 50 parts. 

— (New Idea.) 



228 NOSTRUMS. 

SYRUP OF STILLINGIA COMPOUND. 
This is an old eclectic remedy and may be prepared 
as follows: 

^ Fl. ext. stillingia comp I oz. 

Fl. ext. corydalis I oz. 

Fl. ext. blue flag Yz oz. 

Fl. ext. elder flowers y* oz. 

Fl. ext. prince's pine 3^ oz 

Fl. ext. prickly ash berries 34 oz - 

Fl. ext. coriander 34 oz - 

Sugar 14 oz. 

Water Sufficient. 

Mix the fluid extracts and add water to make 6^4 
fluid ounces. In this dissolve the sugar, using as little 
heat as possible, and add water to make one pint. 

ANODYNES. 

BRADYCROTINE. 
A compound closely resembling it may be made by 
the following formula: 

^ Caffeine (alkaloid) 5 gr. 

Potassium bromide 20 gr. 

Sodium bromide 20 gr. 

Simple syrup 2 dr. 

Alcohol 2 dr. 

Port wine sufficient to make 2 oz. 

Caramel sufficient to color. 
Mix. — (Druggists' Circular.) 

CHLORODYNE. 
The following is a mixture resembling Brown's, and 
i think fully as good: 

If Chloroform 1 dr. 

Morphia 5 g r - 

Ether y 2 dr. 

Oil peppermint 4 mm - 

Dil. hydrocyanic acid. 1 dr. 

Tinct. capsici 1 dr. 

Molasses 10 dr. 

Ext. licorice 15 gr. 

Mix. 



NOSTRUMS. 229 

The following is a mixture put up by a manufactur- 
ing firm: 

If Sulph. morphia 24 gr. 

Tinct. cannabis indica 6 dr. 

Chloroform 6 min. 

Tinct. capsici 12 min. 

Oil peppermint 12 min. 

Dil. hydrocyanic acid 72 min. 

Alcohol zYs oz. 

Glycerine zVs oz « 

Mix. — (Fred Rohnert in American Pharmacist.) 

COALINE HEADACHE POWDERS. 
We would suggest antipyrine, 3 grains, cane sugar 
in powdered form, 15 grains, to each powder. One 
powder to be dissolved in a teaspoonful of water and 
taken as a dose, to be repeated in three-quarters of an 
hour. . — (New Idea.) 

KEPHALGINE. 
This remedy for headache, consists of: 

IJ Antipyrine 5 parts 

Roasted coffee 5 parts 

Caffeine 2 parts 

Salicylate of sodium 2 parts 

Mix. — (American Journal of Pharmacy.) 

KLINE'S NERVE RESTORER. 

JJ Bromide of ammonia 3 dr. 

Bromide of potassium 3 dr. 

Bicarb, of potassium 80 gr. 

Tinct. columbo 6 dr. 

Water 6 oz. 

Mix. Dose : Teaspoonful thrice daily in water. 
— (Dr. Wade in Med. World.) 

POPE'S CURE FOR NEURALGIA. 

ij Iodide of potash 4 dr. 

Extract of conium 1 dr. 

Comp.tinct. of cinchona 2 oz. 

Syrup of sarsaparilla 4 oz. 

Mix. Teaspoonful three times a day. 

— (National Druggist.) . . 



230 NOSTRUMS. 

POWELL'S BALM OF ANISE SEED. 

This patent preparation is merely a modification of 
'Paragoric Elixir," without the perceptible presence of 
camphor, but with the addition of a small quantity of 
extract of licorice, and the faintest presence of rhubarb. 
The medicine is distinctly acid, owing to the presence 
of benzoic acid, and when water is added it becomes 
turbid and milky, from anise seed oil being one of the 
principal constituents. — (New Idea.) 

QUICK STOP FOR HEADACHES. 

Besides camphor, it contains a little over i J4 grains of 
cocaine to the bottle; that is about % grain of the alka- 
loidal salt to the dose. The greenish color is evidently 
due to some greenish fluid extract, and underneath the 
camphor there is an odor suggestive of henbane, though 
we failed to isolate any alkaloid having decided mydri- 
atic qualities. The cocaine dilated the pupil slightly, but 
the dilation was attributed to the cocaine itself, which 
is reported to sometimes have this effect. 

— (New Idea.) 

RICHMOND'S SAMARITAN NERVINE. 

According to our analysis, this wonderful agent has 
the following formula: 

3£ Potass, bromide i oz. 

Sugar i oz. 

Caramel 20 min. 

Water 5 oz. 

Dissolve and add oil cassia 10 min. 

Mix. — (New Idea.) 

ROGER'S ANTI-NEURALGIC PILLS. 

Asafoetida 10 gr. 

Ext. valerian 10 gr. 

Galbanum 10 gr. 

Castoreum 10 gr. 

Mix. Make ten pills. Dose: Three or four pills a 
day — (Country Doctor.) 



NOSTRUMS. 231 

SENCKENBERG'S MIGRAINE PASTILLES. 

^ Methozine (antipyrine) 4J/2 gr. 

Antif ebrin 7>4 gr. 

Rhubarb 24 g r - 

Calamus .J^ gr. 

Cinchona Yt. gr. 

Mix. — (Pharm. Cent.) 

STEDMAN'S SOOTHING POWDERS. 

^ Opium pulv 3 gr. 

Ipecac 1 gr 

Milk sugar 8 gr 

Rice flour 12 gr 

Mix and divide into 8 powders. — (New Idea.) 

WINSLOW'S SOOTHING SYRUP. 

5 Morphia sulph */£ gr. 

Sodii carbon 1 gr. 

Simp, syrup ij4 oz. 

Aqua y 2 oz. 

Spirit foeniculi I dr. 

Mix. {New Idea.) 

APERIENTS AND CATHARTICS. 

AYER'S PILLS. 

Consist of Colocynth, Gamboge and Aloes, coated 
with Starch and Sugar. 

BRANDRETH'S PILLS. 

^ Extract colocynth 20 gr. 

Aloes, Socotrine 2 dr. 

Gamboge 1 dr. 

Castile soap y 2 dr. 

Oil peppermint 2 min. 

Oil cinnamon 1 min. 

Powd. arabic and alcohol, of each q. s. 

Mix and make 80 pills. Dose: 1 to 3, as directed. 

—(Dr. D. S. Clark.) 



232 NOSTRUMS. 

CARTER'S LITTLE LIVER PILLS. 

3£ Podophyllin i>4 gr. 

Aloes lYi gr. 

Mucilage of acacia q. s. 

Mix; divide into 12 pills and coat with sugar. 

— {New Idea.) 

COMBE'S APERIENT. 

I£ Sulphate of magnes 35 parts. 

Roasted coffee 40 parts. 

Boiling water 500 parts. 

Mix. Boil for two minutes, sweeten to taste with 
white sugar. Dose: — One wine-glassful in the morning. 

DOW'S WHITE LIQUID PHYSIC. 

J& Sodium sulphate 8 oz. 

Dissolve in water 24 oz. 

Then add nitro-muriatic acid 2 oz. 

Powdered alum 68 gr. 

Mix. The dose is a table-spoonful in water. A cool- 
ing purgative. 

ENO'S "FRUIT SALT." 

5 Soda bicarbonate 168 parts. 

Tartaric acid 150 parts. 

Rochelle salt no parts. 

Mix. — {New Idea.) 

FLEURY'S TASTELESS CASCARINE. 

Examination proves it to be subnitrate of bismuth and 
calomel, triturated through powdered cane sugar. 

— {New Idea.) 

GARFIELD TEA. 

Our examination showed it to contain chiefly senna 
leaves and crushed couch-grass. There are perhaps small 
amounts of other drugs present; but if so they are 
relatively of little importance. — {New Idea.) 



NOSTRUMS. 233 

HOLMES' LIVER PILLS. 

IJ Colocynth pulp I oz. 

Gamboge i oz. 

Scammony I oz. 

Barb, aloes 2 oz. 

Castile soap ^2 oz. 

Oil peppermint 2 fl. dr. 

Water Sufficient. 

Make into three-grain pills, of which from two to 
three are an average cathartic. These pills formerly 
had a big reputation in the city of Pittsburg, Pa. 

HALLOWAY'S PILLS. 

3J Aloes 2 dr. 

Rhubarb 1 dr. 

Capsicum 20 gr. 

Saffron 5 gr. 

Sulphate of soda 5 gr. 

Make one hundred pills. 

HUNYADI JANOS WATER. 

IJ Sulphate of lime I 1 /* oz. 

Glauber salts 24 oz. 

Epsom salts 26 oz. 

Sulphate of potassa 1 dr. 

Water 10 gal. 

Mix and charge with gas. 

LEE'S ANTI-BILIOUS PILLS. 

IJ Calomel 30 gr. 

Jalap 60 gr. 

Gamboge 12 gr. 

Tartar emetic 3 gr. 

Beat into a mass and make into 24 pills, mix with 
gum arabic or extract of dandelion. Dose: 3 to 5 pills 
as a purgative. 

By substituting podophyllin in the place of calomel 
(same quantity) it makes a safer and better pill for 
common use. Dose : 2 to 3 pills. 



234 NOSTRUMS. 

LITTLE HOP PILLS. 

3J Podophyllin 3 gr. 

Ext. colocynth 6 gr. 

Oil of peppermint 1 min. 

Ext. rhubarb Sufficient. 

Mix, divide into 12 pills and coat heavily with sugar. 

— {New Idea.) 

MARSHALL'S PILLS. 

]J Compound extract colocynth 60 gr. 

Mass mercury 60 gr. 

Powd. aloes 60 gr. 

Powd. soap 60 gr. 

Powd. rhubarb 60 gr. 

Mix and make into 60 pills. 

— {Pharmaceutical Record.) 

MORRISON'S PILLS. 

1$ Powdered colocynth 3 gr. 

Powdered gamboge 6 gr. 

Powdered aloes 9 gr. 

Cream of tartar 12 gr. 

Also syrup enough for 12 pills. Serious results are 
often produced by large doses of these pills. 

PARSON'S PURGATIVE PILLS. 

]J Aloes 1 gr. 

Calomel y* gr. 

Powd. colocynth ^4 gr. 

Gamboge Yi gr. 

Soap Yi gr. 

Mandrake root >4 gr. 

Oil peppermint j£ gr. 

RADWAY'S PILLS. 

1$ Aloes 4 parts 

Jalap 2 parts. 

Ginger 2 parts. 

Myrrh 2 parts. 

Make into a mass with mucilage and divide into 
2-grain pills, of which about four dozen are put into 
each box. — {Cooley.) 



NOSTRUMS. 235 

TARRANT'S SELTZER APERIENT. 
The Assistant State Geologist of Arkansas offers 
this hypothetical combination for this well known arti- 
cle, which we quote as reported by J. J. Beideiman to 
Meyer Bros., Druggists: 

^ Bi-carbonate of soda 28.25 per cent. 

Rochelle salts 26.04 per cent. 

Potassium, soda tartar 

Tartaric acid free 30.96 per cent. 

Sulphate of magnesia 12.89 P er cent. 

Magnesia 28 per cent. 

Silica 01 per cent. 

Chloride of sodium 17 per cent. 

Total 98.60 per cent. 

Loss probably Tartaric acid. 1.40 per cent. 

SIMMON'S LIVER REGULATOR. 

5 Hepatica 1 oz. 

Leptandra 1 oz. 

Serpentaria 1 oz. 

Senna 1^ oz. 

Mix. Put the ingredients into 2.y 2 pints of boiling 
water. Let stand 19 hours, then strain. Add y 2 pint 
of good whisky. — (New Remedies.) 

SYRUP OF FIGS. 
The formula for syrup of figs is as follows: 

T$ Senna leaves 14 oz. 

Coriander seed 6 oz. 

Figs 24 oz. 

Tamarind 18 oz. 

Cassia pulp 18 oz. 

Prunes 12 oz. 

Ext. licorice iy 2 oz. 

Ess. peppermint \y 2 oz. 

Syr. simp 1 gal. 

The formula omits directions; but probably a water 
extract should be made of the drugs, so as to measure 
about four pints, and in this dissolve eight pounds of 
sugar to make the syrup. — (Druggists' Circular.) 



236 NOSTRUMS. 

TOWNSEND'S PILLS. 

Have been in considerable use among physicians of 
our acquaintance. The formula is the following: 

IJ Mass hydrarg 20 gr. 

Gamboge 20 gr. 

Ext. aloes 20 gr. 

Zingiber pulv 20 gr. 

Oil peppermint 3 drops. 

Mix. Divide into 16 pills. — (American Druggist.) 

TROPIC FRUIT LAXATIVE. 

The following is offered as being a very fair duplicate 
of the article : 

^ Jalap, powdered 5 parts. 

Senna, powdered 5 parts. 

Sugar 5 parts. 

Tamarind pulp (E. I.) 30 parts. 

Make into lozenges weighing 45 grains each, and coat 
with chocolate and sugar, and wrap in tin foil. 

— (Adam Sonrath.) 

ASTHMA REMEDIES. 

CLEARY'S ASTHMA POWDER. 

j^ Pulv. stramonium leaves 30 parts. 

Pulv. belladonna leaves 30 parts. 

Pulv. saltpetre 5 parts. 

Pulv. opium 2 parts. 

Mix. A little to be burned and fumes inhaled. 

— (Chemist and Druggist.) 

HIMROD'S ASTHMA CURE. 

Drl Geo. Covert, of Clinton, Wis., in a recent article, 
says in regard to this preparation: "A one-time school- 
mate and friend of mine cured himself of asthma with 
his own remedy. He went to Europe, introduced his 
asthma remedy to the notice of Kaiser William, who 



NOSTRUMS. 237 

used it with benefit and gave it his royal commendation. 
Our friend's fortune was made, and Himrod's Asthma 
Remedy is still on the market/ 

3$ Powdered lobelia 2 oz. 

Powdered stramonium leaves 2 oz. 

Powdered nitrate of potash 2 oz. 

Powdered black tea 2 oz. 

Sift well and mix. 

DR. B. W. HAIR'S ASTHMA CURE. 

IJ Wine of tar 14 oz 

Iodide of potassium 220 gr. 

Make a solution. Shake well before taking. The 
wine of tar to be used in the above must be made as 
follows : 

IJ Common pine tar 2 dr. 

Sherry wine 2 pts. 

Pine sawdust J4 oz 

Mix the tar with the sawdust so as to form a sort of 
powder; then macerate it for a week with the wine and 
filter through paper. —(Dr. Palmer.) 

LANGELL'S ASTHMA REMEDY. 

IJ Powdered belladonna leaves 1 part. 

Powdered nitrate of potash 10 parts. 

CARMINATIVES. 

CHAMBERLAIN'S COLIC, CHOLERA, AND DIAR- 
RHOEA REMEDY. 

1$ Tinct. capsicum 20 dr. 

Tinct. camphor 16 dr. 

Tinct. guaicum 12 dr. 

Mix. — (Medical World.) 

CHAMBERLAIN'S RELIEF. 

1$ Tinct. capsicum (about) 1 oz. 

Spts. camphor (about) 24 oz - 

Tinct. guaiac (about) % oz. 

Color tinct. to make 2 oz. 

Mix. — (The Drug Mill.) 



238 NOSTRUMS. 

EDISON'S POLYFORM. 

1$ Chloroform 2 oz. 

Chloral hydrate 2 oz. 

Alcohol iy 2 oz. 

Gum camphor 1 oz. 

Ether 1 oz. 

Morphine sulphate 6 gr. 

Oil of peppermint 2 dr. 

Mix. — (Druggists' Circular.) 

FOSGATE'S ANODYNE CORDIAL. 

9 Fluid extract rhubarb 5 dr. 

Fluid extract rhatany 2 dr. 

Fluid extract ginger 6 min. 

Paregoric 1 dr. 

Simple syrup 1 dr. 

Dilute alcohol 5 dr. 

Mix. — (New Idea.) 

FLAGG'S RELIEF. 

IJ Oil of cloves, about 1 dr. 

Oil of sassafras, about 2 dr. 

Spirits of camphor, about 1^2 dr. 

Mix. —(J. J. Pierson, Ph. C.) 

KELLOGG'S RED DROPS. 

5 Spirit of camphor 2 oz. 

Spirit of origanum % oz. 

Oil of sassafras % oz - 

Oil turpentine y 2 oz. 

Color tincture (about) 4 oz. 

Mix. — (Pharmacist and Chemist.) 

LINDSEY'S PAIN CURE. 

This is said to be an excellent application for pain 
of any kind, or in any place, and especially for neuralgia 
and inflammatory rheumatism. 



NOSTRUMS. 239 

IJ Alcohol 4 oz. 

Ethereal oil of wine 4 dr. 

No. six 4 oz. 

Spts. camphor 4 oz 

Oil hemlock 2 oz. 

Oil cinnamon 1 dr. 

Oil sassafras 1 oz. 

Oil cloves 4 dr. 

Ether 2 oz. 

Chloroform 2 oz 

Sweet spirits of nitre 4 oz. 

Chloral hydrate 2 oz. 

Lard oil 4 oz. 

Oil cedar 4 oz. 

Oil origanum 1 oz. 

Oil wintergreen .2 dr. 

Mix. It may be taken internally in doses of 5 to 
60 drops. The number six is tincture of capsicum and 
myrrh, made double strength. The spirits of camphor 
is also made double strength by the aid of chloroform. 

— (Dr. McCann.) 

REE'S CHOLERA MIXTURE. 

1$ Spts. chloroform 12 oz. 

Spts. lavender, comp 12 oz. 

Vin. opium 3 oz. 

Oil of cloves 40 min. 

SEVEN SEALS, OR GOLDEN WONDER. 

If Ether 4 parts. 

Chloroform .6 parts. 

Camphor 4 parts. 

Oil of peppermint 2 parts 

Tinct. of capsicum 35 parts. 

Alcohol (90 per cent) 50 parts. 

These proportions are approximate. This prepara- 
tion is recommended for "cholera-morbus, rheumatism, 
wart, corns and all diseases." 

— (National Druggist.) 



240 NOSTRUMS. 

THIELMAN'S CHOLERA MIXTURE. 

^ Oil peppermint 4 dr. 

Chloroform 4 dr. 

Fl. ext. ipecac 3^4 dr. 

Fl. ext. valerian 1% oz. 

Tinct. opium, deod iy 2 oz. 

Ether 2 oz. 

Alcohol 6 oz. 

Sherry wine sufficient to mix 16 oz. 

Mix. — {Western Druggist.) 



CATARRH REMEDIES. 

HALL'S CATARRH CURE. 

IJ Gentian root 1 }4 oz. 

Bitter orange peel 5 dr. 

Cardamon seeds 100 gr. 

Potassium iodide 1 oz. 

Dilute alcohol Sufficient. 

Macerate the crude drugs in 12 ounces of dilute 
alcohol for 48 hours, then transfer to a percolator and 
allow to percolate slowly; when the liquid has ceased 
to percolate, pass enough menstruum through the perco- 
lator to make the finished product measure 16 ounces. 
In this dissolve the potassium iodide. 

— (New Idea.) 

SAUL'S CATARRH REMEDY. 

I£ Comp. tinct. benzoin 2 oz. 

Tinct. tolu 2 oz. 

Chloroform 1 dr. 

Sulphuric ether 1 dr. 

Aramotic spts. of ammonia 1 oz. 

Oil of tar 1 dr. 

Rectified spirits 5 oz. 

Mix. Use with Cutler's inhaler. 

— (Dr. Brucker in Medical World.) 



NOSTRUMS. 241 

SAGE'S CATARRH REMEDY. 

I£ Powdered hydrastis canadensis i oz. 

Powdered borax 10 gr. 

Salt 10 gr. 

Ferro-cyanuret of iron. . .Sufficient to color. 

Mix. 

The above is the formula of Dr. Sage, and sold by 
him to Dr. Pierce, of New York, for $500.00. The for- 
mula was given to me by Dr. Sage himself, while on 
a visit to relatives in Switzerland County, Indiana, two 
years ago. — (Dr. Hewitt in Medical World.) 

SANFORD'S RADICAL CURE FOR CATARRH. 

Consists, according to an analysis made by Prof. A. 
B. Lyons, of a distilled extract of witch hazel, contain- 
ing a little alcohol and glycerine, perhaps as much as 
five per cent, of the latter, and between ten and fifteen 
per cent, of the former (no exact determinations at- 
tempted), also an important constituent — morphine — 
quantity not estimated. 

The "solvent" consists mostly of nitre and bicarbon- 
ate of soda, with a small quantity of the yellow powder, 
insoluble or sparingly soluble in water — probably a 
vegetable powder. — (New Idea.) 

DR. SYKES'S CATARRH CURE. 

Mr. D. S. Sager, chemist, Brantford, Canada, writes 
the American Druggist that an analysis of a package of 
this substance showed that it consisted of between 66 
and 6y per cent, of chlorate of potassium, with powdered 
licorice root, and a small amount of brown powder not 
analyzed. The liquid is made by adding the powder 
to a stated amount of water, filtering out the sediment, 
and then flavoring with wintergreen. 

WEIDEMEYER'S CATARRH CURE. 

We examined in 1880 and found it to be composed 
almost entirely of bicarbonate of soda, costing less than 
one-tenth of one cent for the contents of a box, which 
retails for $1.50. — (New Idea.) 

[16] 



242 NOSTRUMS. 

CORN CURES. 

HANSON'S MAGIC CORN CURE. 

I£ Simple cerate I oz. 

Salicylic acid I dr. 

Mix intimately. — {Indiana Pharmacist.) 

KOHLER'S ONE NIGHT CORN CURE. 

This is claimed to consist of lard containing 25 per 
cent of salicylic acid. — (Western Druggist.) 

LIEBIG'S CORN CURE. 

The following formula for Liebig's Corn Cure is said 
to be very effective : 

1^ Extract of cannabis indica 5 parts. 

Salicylic acid • • -3° parts. 

Collodion 240 parts. 

Mix until dissolved. Apply with a camel-hair pencil 
four consecutive nights and mornings to form a thick 
coating. The collodion protects the corn from irritation 
and rubbing, while the extract of cannabis indica acts as 
an anodyne, and the salicylic acid dissolves and disin- 
tegrates the corn. 

MOREHEAD'S MAGNETIC PLASTER. 

Is said to be composed of tar and extract of bella- 
donna, of each equal parts. 

ROGER'S EXCELSIOR CORN CURE. 

^ Fluid ext. cannabis indica 1 dr. 

Sulph. morphine 20 gr. 

Salicylic acid 10 gr. 

Collodion to make 2 oz. 

Mix well. Pare the corn down thin, apply till a coat 
forms; do so twice or more, and you can pick the corn 
out. — (Dr. Sullivan in Medical World.) 

TRIUMPH CORN PLASTERS. 

We would suggest the following formula as a satis- 
factory one for making a good plaster to replace the 
secret article. 



NOSTRUMS. 243 

Make an adhesive plaster by melting equal parts of 
resin and balsam of fir together; while warm spread on 
linen, and when cold cut into circular discs, about the 
size of a nickel, and in the center of each place a quan- 
tity, about the size of a half pea, of the following mixture : 

^ Resin 3 parts. 

Balsam of fir 2^2 parts. 

Salicylic acid 5 parts. 

Melt the resins together, then stir in the salicylic acid. 

— (New Idea.) 

EXPECTORANTS. 

ALLEN'S LUNG BALSAM. 

1J Tinct. sanguinaria 8 oz. 

Tinct. lobelia 8 oz. 

Tinct. opium 4 oz. 

Tinct. capsicum 1^2 oz. 

Essence sassafras 1 oz. 

Essence anise 1 oz. 

New Orleans molasses y 2 gal. 

Bring the syrup to a boil, and add cautiously the other 
ingredients. — (Kilner.) 

AMICK'S CONSUMPTION CURE. 

The Amick advertisements appeared shortly after the 
publication of Dr. N. B. Shade's paper in this and other 
journals. Amick copied Shade's language, speaking of 
the "chemical" cure, etc., and I believe adopted Shade's 
method of treatment. These are fully described by Shade, 
and consist of the use of calomel, iodoform, guaiacol, 
etc. — (Dr. Waugh in Times and Register.) 

AYER'S CHERRY PECTORAL. 

Iy Acetate of morphia 3 gr. 

Tincture of bloodroot 2 dr. 

Wine antimony 3 dr. 

Wine ipecac 3 dr. 

Syrup wild cherry 3 oz. 

Mix. — (Pacific Med. and Surg. Journal.) 



244 NOSTRUMS. 

BATEMAN'S PECTORAL DROPS. 

I£ Tinct. of opium i l / 2 oz. 

Tinct. of opium-benzoated 20 oz. 

Tinct. of Canada castor 5 oz. 

Cochineal, ground 1 oz. 

Mix. Dose, for adults, 20 to 30 drops, morning and 
evening. Not to be given to children under ten years of 
age. — (Hager.) 

BOSCHEE'S GERMAN SYRUP. 

^ Oil of tar 1 dr. 

Fluid extract ipecac 4 dr. 

Fluid extract wild cherry 6 dr. 

Tincture of opium 4 dr. 

Carbonate of magnesia 3 dr. 

Water 6 oz. 

White sugar 10 oz. 

Triturate the magnesia, first, with the oil of tar ; then 
with a mixture of the fluid extracts and water ; filter and 
form a solution with the sugar, by agitation, without 
heat. — (Medical World.) 

BROWN'S BRONCHIAL TROCHES. 

Said to be like the original formula : 

3£ Powdered ext. of licorice 1 lb. 

Powdered sugar iy 2 lb. 

Powdered cubebs ^4 ft>- 

Powdered gum arabic ^ ft>- 

Ext. conium 1 oz. 

Mix. — {New Idea.) 

BRONCHILLINE. 

If Mullein 64 gr. 

Hoarhound 64 gr. 

Senega 64 gr. 

Ipecac 64 gr. 

Sanguinaria 64 gr. 

White pine 64 gr. 

Wild cherry 256 gr. 



NOSTRUMS. 245 

Chloroform 64 min. 

Sugar 14 oz. av . 

Alcohol 8 oz. 

Tar water (U. S. P.) 8 oz. 

Mix. — (New Idea.) 

BULL'S COUGH SYRUP. 
We have no reason to believe that it contains any- 
thing else of medicinal consequence than the morphia 
and sugar-house syrup. — {New Idea). 

BUCKLER'S CROUP MIXTURE. 

IJ Tartar emetic 2 gr. 

Pluv. ipecac 40 gr. 

Syrup of squills 2 oz. 

Mix. Dose: Teaspoonful every ten minutes until 
emesis occurs. 

CHILD'S COUGH MIXTURE. 

~fy Syr. squills 2 dr. 

Wine ipecac 1 dr. 

Tinct. camphor comp 1 dr. 

Simple syrup 4 dr. 

Water 3 oz. 

DELLENBAUGH'S COUGH CURE. 

3ji Picrate of ammon 2 gr. 

Chloride of ammon 1 dr. 

Extract of licorice 1 dr. 

Water 3 oz. 

ELIXIR PINUS COMP. 

It is evident that this elixir is modeled on the Syrup 
of White Pine Comp. (White Pine Expectorant), intro- 
duced some years ago by Mr. C. S. Hallberg. On the 
basis of the claimed formula of the elixir we would offer 
the following formula: 

^ Fl. ext. white pine bark 6 dr. 

Fl. ext. balm gilead buds 5 dr. 

Fl. ext. spikenard 5 dr. 



246 NOSTRUMS. 

Fl. ext. wild cherry 4^ dr. 

Fl. ext. ipecac 40 min. 

Sanguinaria nitrate 2 gr. 

Chloroform 64 min. 

Morphia acetate 8 gr. 

Ammonium chloride 64 gr. 

Spirits of orange (1 in 8) 30 min. 

Spirits of coriander (1 in 8) 10 min. 

Spirits of anise . . 10 min. 

Alcohol 3 oz. 

Simple syrup 4 oz. 

Water to make 1 pt. 

This elixir should be allowed to stand four or five 
days before filtering. — (New Idea). 

FIRWEIN. 

Dr. Lewis, of Belvidere, gives the following formula 
for Firwein: 

I£ Solution bromine, iodine, and phos- 
phorus 1 oz. 

Fir bark (in coarse powder) 1 oz. 

White pine bark (coarse powder) ... .^2 oz. 

Tamarac bark (coarse powder) y 2 oz. 

Dilute alcohol 16 oz. 

Sugar 4 oz. 

Percolate the barks with the dilute alcohol until 13 
fluid ounces are obtained ; remove the tannin ; add the 
solution bromine, iodine, and phosphorus. Dissolve the 
sugar; allow to stand 24 hours and filter. 

The solution of bromine, iodine and phosphorus is 
made thus : 

IJ Phosphorus -. . . 10 gr. 

Iodine 170 gr. 

Bromine 170 gr. 

Alcohol 1 oz. 

Glycerine sufficient to make 8 oz. 

Dissolve the iodine in the alcohol, then add glycerine, 
then bromine and lastly the phosphorus gradually, in fine 
shavings. Use great care in adding the phosphorus. One 
ounce of this for the above Firwein. — (New Idea.) 



NOSTRUMS. 247 

FORD'S BALSAM OF HOARHOUND. 

IJ Hoarhound herb 3^ tb. 

Licorice root 3^2 tb. 

Water 8 pt. 

Infuse for 12 hours, then strain off six pints. To these 
add: 

IJ Camphor 10 dr. 

Opium 1 oz. 

Benzoin 1 oz. 

Dried squills 2 oz. 

Oil of anise-seed 1 oz. 

Alcohol 12 pt. 

Macerate for one week and then add 3^ pounds of 
honey. — (New Idea.) 

GOOCHE'S MEXICAN COUGH SYRUP. 

I£ Fluid extract wild cherry 2 dr. 

Glycerine .6 dr. 

Simple syrup 2 dr. 

Syrup of tar, sufficient to make 3 oz. 

Mix. — (New Idea.) 

GOOD SAMARITAN COUGH SYRUP. 

1^ Morphia muriat 1 gr. 

Aq. lauro-cerasi 1 dr. 

Syrupi 2 oz. 

Mix. One dr. to two drs., once or twice daily. 

GRANDMOTHER'S OWN COUGH REMEDY. 
I£ Liquid tar 5 gr. 

Fluid ext. hemlock 1 dr. 

Powd. white sugar 2 oz. 

And add 

Alcohol y 2 oz. 

Water 1^ oz. 

Molasses 3 oz. 

Fluid ext. ipecac 8 min. 

Mix well and add finally 

Chloroform 1 dr. 

Mix. — (New Idea.) 



248 NOSTRUMS. 

JACKSON'S COUGH SYRUP. 
The following is the formula recommended by Prof. 
J. U. Lloyd to be followed as a standard for the above 
preparation, which also goes by the name of "Compound 
Syrup of Morphine :" 

IJ Fl. ext. ipecac */2 dr. 

Fl. ext. senega 3 oz. 

Fl. ext. rhubarb 4 dr. 

Sulphate morphine 8 gr. 

Oil sassafras 22 min. 

Syrup, to make 32 oz. 

Mix. — (American Druggist.) 

JAYNE'S EXPECTORANT. 
The following is given in New Idea as approximating 
this preparation : 

I£ Syrup squills 2 oz. 

Tinct. tolu iy 2 oz. 

Tinct. camphor 1 dr. 

Tinct. digitalis 1 dr. 

Tinct. opium 2 dr. 

Wine ipecac 2 dr. 

Antimon. and pot. tart 2 gr. 

KEATING'S COUGH LOZENGES. 

I£ Lactucarium 7J4 gr. 

Ipecac zYa gr. 

Squills 3 gr. 

Ext. licorice 3 dr. 

Mucil. tragacanth q. s. 

Mix and divide into lozenges each containing 19 gr. 

KING'S NEW DISCOVERY. 
The following is said to represent its composition : 

^ Sulp. morphia 8 gr. 

Fl. ext. ipecac y 2 dr. 

Chloroform 60 min. 

Tinct. white pine 2 oz. 

Water 7 oz. 

Carbonate of magnesia .%. oz. 

Sugar 14 oz. 



NOSTRUMS. 249 

Rub the magnesia with one ounce of the sugar in a 
mortar, and triturate with the tincture of white pine and 
the fluid extract of ipecac; gradually add the water, and 
triturate with the mixture in the mortar. Filter and 
dissolve the morphia sulphate in the filtrate; mix the 
chloroform with the rest of the sugar in a bottle and add 
the liquid above. Keep in a tight vessel. 

— {New Idea.) 



LOCOCK'S PULMONIC WAFERS. 

5 Sugar 10 dr. 

Starch io dr. 

Gum arabic 5 dr. 

Lactucarium 75 gr. 

Equal parts each of vinegar of squills, Oxymel of 
squills, Wine of ipecac. 

The last three are to be mixed and evaporated to one- 
sixth the original bulk and added to the powders in 
quantity sufficient to make a mass of proper consistance. 
This is to be divided into lozenges of seven and one-half 
grains each. 

MEIBOM'S PECTORIAL BALSAM. 

IJ Benzoin io parts 

Dragon's blood io parts 

Opium io parts 

Bals. Peru io parts 

Spermaceti 5 parts 

Butter io parts 

Sweet oil of almonds 50 parts 

Oil of turpentine 100 parts 

Acetic acid 2 parts 

Digest for some days, frequently shaking, and strain 
through linen. To be rubbed on the breast once daily 
and taken internally once or twice daily, in doses of ten 
to fifteen drops, for coughs and catarrh. 



250 NOSTRUMS. 

PEEKSKILL'S COUGH SYRUP. 

^ Syrup of tolu 5 oz. 

Syrup of ipecac 1 oz. 

Paregoric . . .4 oz. 

Syrup of wild cherry 1 oz. 

Mix. —(Medical World.) 

PISO'S CURE FOR CONSUMPTION. 

IJ Tinct. tolu y 2 oz. 

Fl. ext. lobelia 2 dr. 

Fl. ext. cannabis indica 2 dr. 

Chloroform 1 dr. 

Sulp. morphia 4 gr. 

Tartar emetic 4 gr. 

Ess. mentha viridis 10 min. 

Water 8 oz. 

Sugar 14 oz. 

Mix the fluid extracts, tincture of tolu, chloroform 
and essence of spearmint, and shake with the sugar in a 
bottle. Dissolve with the morphine and tartar emetic 
in hot water, then add the water to the sugar in a bottle. 
Dose : — One teaspoonful. 

— (New Idea.) 

RANSOM'S HIVE SYRUP AND TOLU. 

^ Fluid ext. squills 2 dr. 

Fluid ext. senega 2 dr. 

Soluble essence tolu 2 dr. 

Tartar emetic 4 gr. 

White sugar 4 oz. 

Water to make 4 oz. 

It is readily prepared by rubbing the tartar emetic 
and sugar well together, adding the fluid extract and es- 
sence of tolu, and then enough water to make, after short 
slight heating and straining, 4 fluid ounces. Each fluid 
ounce of the syrup contains 1 grain of tartar emetic. 

— (Nezv Idea.) 



NOSTRUMS. 251 

RED STAR COUGH CURE. 

We purchased a bottle of it and have submitted it to 
examination, and find that it is a syrup preparation of 
wild cherry bark, with a little tar and slight trace of 
chloroform or chloric ether, with possibly a little bitter 
almond added. It is put up in a green panel bottle con- 
taining full three fluid ounces. It is a clear reddish- 
brown syrup, of thick substance, has a very faint acid re- 
action; but has pronounced bitter-almond flavor, and 
tarry taste and odor. 

— (New Idea.) 

SCHENCK'S PULMONIC SYRUP. 

The following formula for Schenck's Pulmonic Syrup 
was given to me by an old lady several years ago, who 
professed to know all about the late Dr. Schenck when he 
commenced : 

IJ Wormwood y 2 oz. 

Catnip y 2 oz. 

Tansy y 2 oz. 

Hyssop y 2 oz. 

Hoarhound . . . y 2 oz. 

Hops y 2 oz. 

Chamomile y 2 oz. 

Comfrey y 2 oz. 

Senega y 2 oz. 

Elecampane y 2 oz. 

Boil with sufficient water to make, after straining, 
one quart ; then add : 

Gum arabic iy 2 oz. 

Liquorice \y 2 oz. 

Then one good-sized Indian turnip, and finally add: 

Sugar 3 lb. 

Brandy y 2 pt. 

Juice of two lemons. 

— (H. M. Wilder in Pharmaceutical Record.) 



252 NOSTRUMS. 

SHILOH'S CONSUMPTION CURE. 

IJ Muriate of morphine 3 gr. 

Muriatic acid 3 min. 

Fl. ext. of henbane 2 dr. 

Fl. ext. of ginger 3 dr. 

Fl. ext. of wild cherry 3 dr. 

Diluted alcohol 3 dr. 

Chloroform 1 dr. 

Essence peppermint 30 min. 

Syrup of tar 3 oz. 

Simple syrup enough to make 8 oz. 

Mix. — {New Idea.) 

SMITH BROS.' COUGH DROPS. 

^ Average weight of each drop 36.5 gr. 

Sugar (and glucose in small quanti- 
ties) 35-5 gr. 

Powdered charcoal 80 gr. 

Licorice in small quantities. And 
highly flavored with oil of sas- 
safras with a little oil of anise. 

— {New Idea.) 

STOKES' EXPECTORANT. 

I£ Carbonate ammonia 30 gr. 

Fluid ext. squills 1 dr. 

Fluid ext. senega 1 dr. 

Paregoric 6 dr. 

Syrup of tolu 12 dr. 

Water 10 dr. 

Dissolve the carbonate of ammonia in the water and 
add the remaining ingredients. Dose: — A teaspoonful. 

THORN'S COUGH MIXTURE. 

5 Hive syrup 2 oz. 

Paregoric 1 oz. 

Sweet spts. nitre 1 oz. 

Mix. Dose for an adult: — One teaspoonful every 
two or three hours. 



NOSTRUMS. 253 

WISTAR'S BALSAM OF WILD CHERRY. 

The following formula makes a preparation which is 
substantially the same as the proprietary article: 

3J Fl. ext. wild cherry I oz. 

Fl. ext. ipecac 2 dr. 

Fl. ext. squills 2 dr. 

Tinct. opium 1 dr. 

Tartar emetic 2 gr. 

Sugar-house syrup 3 oz. 

Alcohol 6 dr. 

Sp. anise (1 in 8) 20 min. 

Tinct. cudbear comp. (N. F.) 2 dr. 

Water sufficient to make 8 oz. 

Mix. — {New Idea.) 

WHITE'S ELIXIR. 

The following is the formula of "White's Elixir," a 
nostrum extensively sold throughout Vermont for lung 
complaints : 

IJ Antimonii et potassii tart 32 gr. 

Tinct. opii 2 dr. 

Tinct. camphorae 2 dr. 

Tinct. anisi 2 dr. 

Alcoholis dil 3 oz. 

Syrupi simplicis . 10 oz. 

Aquae to make 1 pt. 

Mix. — {Dr. Ladue in Medical World.) 

WHEELOCK'S COUGH MIXTURE. 

If Sulp. ether 3 dr. 

Tinct. hyoscyamus 1 oz. 

Syr. wild cherry 1 oz. 

Syr. tolu 1 Oz. 

Water to make 4 oz. 

Mix. {Pharmaceutical Era.) 



254 NOSTRUMS. 

EYE REMEDIES. 

GOLDEN EYE WATER. 

1$ Sulphate of hydrastia 2 gr. 

Distilled water 1 oz. 

OCULINE, OR "THE BRILLIANT EYE." 

This is a collyrium advertised by a New York firm. 
It is guaranteed to cure every description of eye disease, 
and to impart a beautiful and lasting brilliancy to the 
organ of vision. 

Examined by Dr. Fr. Hoffman, it has been found to 
consist of water containing 1 per cent, of boric acid and 
5 per cent, of glycerin. — (Phartn. Rundschau.) 

THOMPSON'S EYE-WATER. 

^ Zinc, sulphate 20 gr. 

Copper, sulphate 5 gr. 

Tinct. saffron 2 dr. 

Tinct. camphor 1 dr. 

Rose-water 8 oz. 

Dist. water 8 oz. 

Mix and filter. — (Nezv Remedies.) 

FEVER AND AGUE REMEDIES. 

AYER'S AGUE CURE. 

This is said to be a syrupy tincture of cinchona with 
aromatics. Each bottle holds 6 fluid ounces, and each 
fluid ounce was found to contain 3.2 grains of amorphous 
cinchona alkaloids, 3 grains cinchonine, 0.9 cinchonidine, 
0.8 quinine, and 1 grain quinidine. 

BEGG'S FEVER AND AGUE PILLS. 

Each pill contains one grain of quinia sulphate, one- 
half grain cinchona sulphate, rhubarb one grain, with a 
little flavoring. These pills are put up in a half-ounce 
plain flint vial ; they are uncoated, 32 pills in a bottle, 
balance of space filled with powdered licorice root. A 
small slip with title, uses, and directions surrounds the 



NOSTRUMS. 255 

bottle, and a red lead wrapper, type set, surrounds the 
whole. This is an excellent ague cure. — (New Idea.) 

FEBRILINE. 

Dr. R. G. Eccles declares in the Druggists' Circular, 
May, 1889, that he has investigated a preparation sold 
under the name "Febriline or Tasteless Syrup of Amor- 
phous Quinine (Lyons), "by the Paris Medicine Co., of 
Paris, Tenn., and finds that it contains no quinine at 
all. Instead of quinine, quinidine is used, anothei alka- 
loid of cinchona bark. Its lack of bitterness renders it 
convenient for administration to children, and its im- 
perfect solubility is not disadvantageous when a slow or 
tonic action is alone required. 

GADBERRY'S MIXTURE. 

Gadberry's Mixture is used to a great extent in the 
Mississippi valley to control malaria. 

I£ Liquor tersulphate iron 3 dr. 

Liquor arseniate potash 90 min. 

Saltpetre 2 dr. 

Sulph. quinine 2 dr. 

Water to make 2 oz. 

Mix. — (Bulletin of Pharmacy.) 

HAMLET'S AGUE PILLS. 

I£ Sulph. quinine 2 dr. 

Powd. myrrh 1 dr. 

Powd. capsicum 1 dr. 

Mix and make sixty pills. 

KREYDER'S AGUE PILLS. 

Sulph. quinia 20 gr. 

Dover's powder 10 gr. 

Sub. carb. iron 10 gr. 

Mix with mucilage of acacia and form twenty pills. 
Dose : — Two each hour, commencing five hours before 
the chill should set in. Then take one nieht and morn- 
ing until all are taken. 



i & j 



256 NOSTRUMS. 

OSGOOD'S CHOLAGOGUE, OR CELEBRATED 
AGUE CURE. 

3$ Sulph. quinine 2 dr. 

Fluid ext. leptandra 2 dr. 

Saturated tinct. stillingia 4 oz. 

Fluid ext. podophyllin 3 dr. 

Oil of sassafras 10 min. 

Oil of wintergreen 10 min. 

New Orleans molasses sufficient to 

make 8 oz. 

Mix. Dose: — One to two teaspoonfuls. 

SMEDLEY'S FEVER POWDERS. 

^ Camphor gum y 2 oz. 

Gum myrrh y 2 oz. 

Blood-root 1 oz. 

Lobelia (seeds, pods, and leaves) .... 2 oz. 
All pulverized fine and well mixed. 

For colds and to break a fever in its first stages, in 
powders of ordinary size. For catarrh in the head, use 
as a snuff. 

INHALANTS. 

ACTINA. 

Prof. Flavel B. Tiffany, of the University Medical 
College, this city, says the extensively advertised 
"Actina" has this composition: 

^ Menthol crystals 1 dr. 

Alcohol Y-2. dr. 

Ether sulph 1 dr. 

Oil mustard 2 dr. 

Sponge sufficient to make 1 oz. 

CARBOLIC SMOKE BALLS. 
Upon examination, made in our laboratory by H. W. 
Snow, it was found to consist of glycyrrhiza and flour 



NOSTRUMS. 257 

(identified by microscopical examination and physicial 
properties) and one of the veratrums, probably white 
hellebore (identified by means of the alkaloid jervine, 
which was separated and identified). The smoky body 
is some tar product, not easy to say just which. It is 
this latter and the white hellebore which it contains that 
cause it to yield a temporary relief; permanent relief we 
do not believe can afford. No quantitative estimates 
were attempted. — {New Idea.) 

CARBOLATE OF IODINE INHALANT. 

I£ Compound tincture of iodine 180 min. 

Carbolic acid, No. i , 48 mm. 

Glycerine 1 dr. 

Water 5 dr. 

Mix and expose to the sunlight until the mixture is 
entirely colorless. — {National Druggist.) 



INJECTIONS. 

BIG G INJECTION. 

An examination made in our laboratory shows the 
presence of boric acid, or borax and berberine, the yellow 
alkaloid of hydrastis. No zinc sulphate or other 
astringent was found. No quantitative estimates were 
made. 



GRIMAULT'S INJECTION OF MATICO. 

A satisfactory and valuable substitute could be made 
by distilling about y 2 to 1 fluid drachm of fluid extract of 
eucalyptus globulus, with water sufficient to obtain 5 
fluid ounces of distillate, and then in this dissolve 4 grains 
of sulphate of copper. — {New Idea.) 



258 NOSTRUMS. 

INJECTION BROU. 

A preparation which is substantially the same, may be 
made by the following formula : 

If Tinct. catechu (i in 16) I dr. 

Cocaine muriate 10 gr. 

Lead acetate 10 gr. 

Zinc, sulphate 10 gr. 

Water 6^ oz. 

Alcohol l / 2 oz. 

Dissolve the mineral salts each in ]/ 2 ounce of water 
and mix them. Dilute the tinct. catechu with 4 fluid 
ounces of water; add the minerals and then the solution 
of cocaine muriate in an ounce of water ; lastly the alcohol 
and water to make j L / 2 fluid ounces. The color of Injec- 
tion Brou may be fairly well simulated by using a small 
amount of magenta. 

— (Nezv Idea.) 

LINIMENTS. 

BAREEL'S INDIAN LINIMENT. 

I£ Tr. capsicum 1 dr. 

Oil origanum y 2 oz. 

Oil sassafras y 2 oz. 

Oil pennyroyal y 2 oz. 

Oil hemlock y 2 oz. 

Alcohol 1 qt. 

Mix. — (New Idea.) 

BARKER'S BONE AND NERVE LINIMENT. 
For man or beast. 

If Camphor 70 gr. 

Oil of tar y 2 dr. 

Oil of thyme 1 dr. 

Oil of turpentine 2 dr. 

Franklin oil (black oil, lubricating oil) 

sufficient to make '. 2 oz. 

Mix. — (Nezv Idea.) 



NOSTRUMS. 259 

BRODIE'S LINIMENT. 

I£ Sulphuric acid I dr. 

Olive oil i oz 

Turpentine I oz. 

Add the acid gradually to the oil, stirring in a mortar ; 
afterward add the turpentine. 

BRODIE'S LINIMENT FOR ASTHMA. 

I£ Oil of stillingia 4 dr. 

Oil of cajeput 2 dr. 

Oil of lobelia .1 dr. 

Alcohol 1 oz. 

Mix. Bathe the chest and throat three times a day. 

CALIFORNIA LINIMENT. 

I£ Tinct. myrrh . . 1 oz. 

Tinct. capsicum 1 oz. 

Sweet spirits nitre 1 oz. 

Sulph. ether 1 oz. 

Chloroform ^ oz. 

Tinct. arnica 1 oz. 

Oil spearmint 2 dr. 

Oil wintergreen 2 dr. 

Oil lobelia 1 dr. 

Aqua ammonia y 2 oz. 

Alcohol 1 qt. 

— (Kilner.) 

CENTAUR LINIMENT. 

This widely advertised nostrum comes in two forms, 
"For Man" and for Beast." 

For Man. 

I£ Oil pennyroyal . . . y 2 oz. 

Oil thyme *4 oz - 

Oil turpentine ^4 oz - 

Soap 130 gr. 

Caustic soda 10 gr. 

Water to make 1 pt. 



260 NOSTRUMS. 

For Beast. 

1$ Oil spearmint .• . . . i dr. 

Oil mustard 15 min. 

Oil turpentine 34 oz - 

Oil amber (crude) ^2 oz. 

Black oil Yi oz. 

Soap 130 gr. 

Caustic soda 10 gr. 

Water to make 1 pt. 

Mix. — (New Idea.) 

COOK'S ELECTRO-MAGNETIC LINIMENT. 

^ Alcohol 1 gal. 

Oil amber 8 oz. 

Gum camphor 8 oz. 

Castile soap (fine) 2 oz. 

Beefs gall 4 oz. 

Aqua ammonia > . 12 oz. 

Mix. — (Kilner.) 

CRAM'S FLUID LIGHTNING. 

Mr. I. L. Fulton (Western Druggist) gives the follow- 
ing formula, which was represented to him as being the 
original from which Cram's Fluid Lightning is prepared : 

J$ Oil mustard 2 dr. 

Oil cajeput 2 dr. 

Oil cloves 2 dr. 

Sassafras 2 dr. 

Ether 1 oz. 

Tinct. opium iy 2 oz. 

Alcohol 20 oz. 

Mix and filter. 

DERBY'S LINIMENT. 

3$ Linseed oil 1 gal. 

Aqua ammonia 4 oz. 

Tinct. capsicum 1 oz. 

Oil origanum 1 oz. 

Mix. — (Kilner.) 



NOSTRUMS. 261 

ECLECTIC STILLINGIA LINIMENT FOR CROUP. 

J$ Oil stillingia 8 dr. 

Oil cajeput 4 dr. 

Oil lobelia 2 dr. 

Alcohol 16 dr. 

Mix. In addition it is sometimes given internally 
in one-drop doses. 

ELLIMAN'S ROYAL EMBROCATION. 

J£ Oil turpentine ^2 oz. 

Oil thyme Yz oz. 

Oil amber (crude) y% oz. 

Soap 130 gr. 

Caustic soda 10 gr. 

Water sufficient. 1 pt. 

To be prepared in the same manner as Mex'can 
Mustang Liniment. — (New Idea.) 

GARGLING OIL. 

IJ Crude petroleum 13 oz. 

Ammonia water 6 oz. 

Soft soap 16 oz. 

Benzine 16 oz. 

Crude oil amber 2 oz. 

Tincture iodine 1 oz. 

Water 5 pts. 

Mix the petroleum and soap, add the ammonia water, 
oil of amber, and tincture of iodine, and mix thoroughly. 
Then add the benzine and finally the water. 

— (Salmon's Pharmaceutical Compendium.) 

GREEN WONDER OIL. 

IJ Terebinth venet 4 oz. 

Zinci sulphat 15 gr. 

Cupri acetat iy 2 oz. 

Bals. Peru 1 dr. 

Ol. olivae 1 tb. 

Ol. lini 1 ft>. 



262 NOSTRUMS. 

Boil the oils ; when warm add the turpentine and zinc ; 
when almost cold add the other ingredients and stir well. 
For scalds, burns, wounds, and piles. 

GOMBAULT'S CAUSTIC BALSAM. 

3J Croton oil 4 dr. 

Cotton-seed oil 2 oz. 

Oil of camphor 1 dr. 

Oil of turpentine 2 dr. 

Oil of thyme J4 dr. 

Kerosene 4 dr. 

Sulphuric acid 20 min. 

To the mixture of croton and cotton-seed oils add 
the sulphuric acid, stirring continually, then add the 
other constituents. After standing a few days it re- 
sembles the original preparation fairly well. 

Mix. — (Western Druggist.) 

GUNN'S RHEUMATIC LINIMENT. 

]J Linseed oil 1 oz. 

Oil cedar 1 oz. 

Oil amber 1 oz. 

Take gum camphor y 2 ounce; rub in a mortar with 
alcohol or sulphuric ether till pulverized, and while still 
damp add 

Olive oil ^ oz. 

Turpentine . ^ oz. 

Laudanum ^2 oz. 

After which add the first three articles. 

GOOD SAMARITAN LINIMENT. 

1$ Oil of sassafras 1 oz. 

Oil of hemlock 1 oz. 

Spirits of turpentine 1 oz. 

Tinct. of capsicum 1 oz. 

Tinct. of opium I oz. 

Tinct. of myrrh 4 oz. 

Oil of origanum 2 oz. 



NOSTRUMS. 263 

Oil of wintergreen 4 dr. 

Gum camphor 2 oz. 

Chloroform i>4 oz. 

Alcohol 4 pts. 

Mix. — (Kilner.) 

GILE'S IODIDE OF AMMONIA LINIMENT. 

^ Iodine 1 dr. 

Camphor 1 oz. 

Oil of rosemary y 2 oz. 

Oil of lavender y 2 oz. 

Aqua ammonia 4 oz. 

Alcohol 2 pts. 

Dissolve the iodine in the alcohol ; add the camphor 
and then the oils ; then add water of ammonia enough 
to remove the dark color of the mixture. — (Kilner.) 

GENUINE WHITE OIL LINIMENT. 

I£ Ammonia carbonate 19 parts. 

Camphor 20 parts. 

Oil turpentine 21 parts. 

Oil origanum 20 parts. 

Castile soap 19 parts. 

Water to make (by weight) 300 parts. 

GREAT LONDON LINIMENT. 

J^ Acetate of morphia 10 gr. 

Chloroform 1 oz. 

Olive oil 1 oz. 

Water of ammonia 1 oz. 

HAMLIN'S WIZARD OIL. 

I£ Alcohol 1 pt. 

Gum camphor 1 oz. 

Oil sassafras y 2 oz. 

Tinct. myrrh y 2 oz. 

Tinct. capsicum y 2 oz. 

Chloroform y 2 oz. 

— (Dr. Douglas in Medical World.) 



264 NOSTRUMS. 

HARLEM OIL. 

I£ Flowers of sulphur 2 oz. 

Linseed oil 1 lb. 

•Oil of amber 2 oz. 

Oil of turpentine sufficient. 

Boil the sulphur and linseed oil on a gentle fire until 
the sulphur is dissolved ; then withdraw from the fire, 
and when the mixture has somewhat cooled, add the oil 
of amber and enough oil of turpentine to bring the prepa- 
ration to the consistence of molasses. 

— (National Druggist.) 

HINKLEY'S BONE LINIMENT. 

^ Oil of wormwood 40 min. 

Oil of hemlock 2 dr. 

Oil of thyme 2 dr. 

Oil of turpentine 4 dr. 

Fl. ext. of capsicum 1 dr. 

Alcohol to make 4 oz. 

KENDALL'S SPAVIN CURE. 
The following formula makes a preparation substan- 
tially the same as the proprietary liniment: 

IJ Turpentine 1 oz. 

Alcohol 2 oz. 

Camphor 240 gr. 

Iodine 25 gr. 

Petroleum oil (heavy) ^2 dr. 

Oil of rosemary 1 dr. 

In the mixed oils (without filtering) dissolve the 
camphor and the iodine. — (New Idea.) 

KICKAPOO INDIAN OIL. 

IJ Camphor Y> oz. 

Oil turpentine 1 dr. 

Oil peppermint ^2 dr. 

Oil wintergreen Yz dr. 

Tinct. capsicum ^2* oz. 

Alcohol sufficient to make 1 pt. 

Mix. — (New Idea.) 



NOSTRUMS. 265 

KITCHELL'S LINIMENT. 

If Water ammonia i part. 

Water 3 parts. 

Caramel q. s. color. 

Mix. — (Western Druggist.) 

LAUBACH'S ECLECTIC LINIMENT. 

^ Oil of turpentine 60 parts. 

Tincture of arnica flowers 120 parts. 

Stronger water of ammonia 120 parts. 

Soap liniment 900 parts. 

Oil of sassafras 6 parts. 

Oil of thyme 2 parts. 

Alcohol 240 parts. 

Total parts (by measure) 1448 

— (New Idea.) 

LINIMENT FOR MAN AND BEAST. 

If Powdered myrrh 1 oz. 

Powdered aloes 1 oz. 

Balsam fir 1 oz. 

Alcohol 8 oz. 

Mix. — (National Druggist.) 

LOW'S MAGNETIC LINIMENT. 

The following formula furnishes a liniment nearly 
identical in contents, character, and color: 

If Oil of turpentine 90 parts. 

Tinct. of capsicum 120 parts. 

Spirits of camphor 960 parts. 

Stronger water of ammonia 90 parts. 

Alcohol (sp. gr. 820) 180 parts. 

Oil of sassafras 6 parts. 

Fluid ext. of sassafras 40 parts. 

Total (parts by weight) i486 

— (New Idea.) 



266 NOSTRUMS. 

MEXICAN MUSTANG LINIMENT. 

3£ Oil turpentine y?. dr. 

Oil thyme Yi dr. 

Oil amber, crude l /i dr. 

Black oil I dr. 

Kerosene oil 3 dr. 

Water 3 oz. 2 dr. 

Soap 35 gr. 

Caustic potash 3 gr. 

. Mix. 

— (New Idea.) 

MILLER'S GOLDEN OIL. 
According to New Idea, this consists mainly of : 

^ Essential oil of lavender 30 min. 

Essential oil of eucalyptus 20 min. 

Essential oil of sassafras 20 min. 

Oil of turpentine 1 min. 

Cotton-seed oil 7 dr. 

OIL OF GLADNESS. 

]J Oil of marjoram 1 dr. 

Oil of peppermint 1 dr. 

Oil of horsemint 1 dr. 

Ether 2 dr. 

Tincture of capsicum 4 dr. 

Tincture of opium 1 dr. 

Tincture of red sanders 1 dr. 

Alcohol, sufficient quantity to make. . .8 oz. 
Mix. — (Druggists' Circular.) 

OIL OF JOY. 

^ Alcohol 4 pts. 

Gum camphor ]/ 2 oz. 

Oil of sassafras 1 oz. 

Oil of cedar 1 oz. 

Tinct. of guaic 1 oz. 

Tincture of capsicum 2 oz. 

Water of ammonia 4 oz. 

Chloroform 3 oz. 



NOSTRUMS. 267 

PERRY DAVIS' PAIN KILLER. 

1$ Gum myrrh . . 2% lb . 

Capsicum 10 oz. 

Gum opium 8 oz. 

Gum benzoin 6 oz. 

Gum guiac 3 oz. 

Gum camphor 10 oz. 

Alcohol 5 gal. 

RADWAY'S READY RELIEF. 

I£ Soap liniment, about iy 2 oz. 

Tinct. capsicum, about y 2 oz. 

Water of ammonia, about l / 2 oz. 

Alcohol, about. . . y 2 oz. 

Mix. —(/./. Pier son, Ph. C.) 

REAVE'S EMBROCATION. 

3J Olive oil \y 2 oz. 

Aq. ammonia 1 oz. 

Goulard's extract of lead 1 oz. 

Oil origanum 2 oz. 

SEQUAH'S OIL. 

A mixture of two-thirds Turpentine and one-third 
Fish Oil, scented with a few drops of Oil of Camphor. 

— {Stokes, in Hygiene.) 

ST. JACOB'S OIL. 

I£ Gum camphor 1 oz. 

Chloral hydrate 1 oz. 

Chloroform 1 oz. 

Sulp. ether 1 oz. 

Tinct. opium ; y 2 oz. 

Oil origanum y 2 oz. 

Oil sassafras . y 2 oz. 

Alcohol y 2 gal . 

Mix. —{Medical World.) 



268 NOSTRUMS. 

ST. JOHN LONG'S LINIMENT. 

tf Yolks of eggs 8 

Oil turpentine 24 oz. 

Acetic acid 16 oz. 

Water 24 oz. 

Mix. — {Philadelphia Medical Times.) 

J. L. ST. JOHN'S LINIMENT. 

According to Eclectic Medical Advocate, this prepa- 
ration is composed of: 

I£ Turpentine : 7 oz. 

Sweet oil 3 oz. 

Tinct. arnica 4 oz. 

Oil origanum 1 oz. 

Oil hemlock 1 oz. 

Oil juniper 1 oz. 

Oil amber 2 oz. 

Laudanum 2 oz. 

Spirits ammonia J / 2 oz. 

Camphor ]/ 2 oz. 

"THAT LINIMENT." 

9 Oil of turpentine 1 oz. 

Oil of spike 1 oz. 

Oil of origanum 1 oz. 

Barbadoes tar 2 dr. 

Spirits of camphor l / 2 dr. 

THOMAS' ELECTRIC OIL. 

^ Gum camphor 4 dr. 

Oil gaultheria 4 dr. 

Oil origanum 4 dr. 

Chloroform 1 oz. 

Tinct. opium 1 oz. 

Oil sassafras 1 oz. 

Oil hemlock 1 oz. 

Oil turpentine 1 oz. 

Balsam fir 1 oz. 



NOSTRUMS. 269 

Tinct. guaiacum I oz. 

Tinct. catechu I oz. 

Alcohol 4 pt. 

Alkanet sufficient to color. 

Mix. — (Medical World.) 

TOBIAS VENETIAN LINIMENT. 

]J Spirits of ammonia 5 parts. 

Tinct. of capsicum 5 partis. 

Camphor 2 parts. 

Alcohol 34 parts. 

Mix. — (Hager.) 

Water io parts. 

TIP TOP. 
^ Calomel 6o gr. 

Tinct. iodine I oz. 

Oil sassafras I dr. 

Kerosene oil 3 oz. 

Mix. . Shake well before using. 

This preparation is "tip top" in some skin diseases, 
and does not belie its name. With a few drops of car- 
bolic acid added, it will arrest or stop a spider or any 
other poisonous insect bite from assuming the erysipe- 
latous or gangrenous form that we frequently see in course 
of the practice of medicine. 

— (Dr„ Sturdivant in Medical Summary.) 

WILSON'S LIGHTNING LINIMENT. 

5 Oil of cedar 3 oz. 

Oil of sassafras .3 oz. 

Tinct. of opium 3 oz. 

Tinct. of guaiac 3 oz. 

Tinct. of capsicum 3 oz. 

Aqua ammonia 4 oz. 

Spirit of camphor 4 oz. 

Spirit of turpentine 4 oz. 

Chloroform 3 oz. 

Alcohol 1 gal . 

Mix. — (Druggists' Circular.) 



270 NOSTRUMS. 

WOLCOTT'S PAIN PAINT. 

I have made an article closely resembling this, and 
answering the same purpose, by taking: 

IJ Oil of peppermint I to 2 dr. 

Dried mint leaves, finely pulv. . . .1 to 2 dr. 
Moisten the leaves with the oil, enclose in lead wrap- 
pers (to prevent evaporation), leave enclosed a few days, 
then dissolve in four ounces of alcohol; add twelve 
ounces of water, shake and filter. 

— (Dr. Crull, in Medical World.) 

RHEUHATISn, GOUT AND KIDNEY CURES. 

ATHLOPHOROS. 

I£ Acetate of potash 1 dr. 

Salicylate of soda 490 gr. 

Sugar 4 oz. 

Caramel 3 drops. 

Water 14 fl. oz. 

Mix. — (New Idea.) 

BLAIR'S GOUT AND RHEUMATIC PILLS. 

Are composed of acetic extract of colchicum and ex- 
tract of hyoscyamus. — (New Idea.) 

CATANI'S SPECIFIC. 

Catani's specific for uric acid is a mixture of : 
^ Carbonate of lithium. 1 part. 

Carbonate of sodium 2 parts. 

Citrate of potassium 4 parts. 

All in powdered form. — (Pharm. Post.) 

COBB'S PILLS. 

IJ Extract of hyoscyamus ^ dr. 

Extract of conium Yz dr. 

Extract of colocynth 11 gr. 

Extract of nux vomica 4 gr. 

Mix. Divide into thirty pills. 



NOSTRUMS. 271 

HELMBOLD'S BUCHU. 

^ Short buchu 9 oz. 

Uva ursi 4^ oz. 

Licorice root 10 dr. 

Macerate in 9 pints of boiling water, strain, and add : 

Caramel 2 oz. 

Molasses 8 oz. 

Mix well, and add: 

Fluid extract cubeb 5 oz. 

Alcohol 2 pt. 

Oil peppermint . 1 oz. 

Water sufficient to make. 12 pt. 

— (Lillard's Prac. Hints and Formulas.) 

LAVILLES' GOUT CURE. 

This patent preparation is said to have the following 
composition: 

IJ Quinine J .J gr. 

Cinchonine 9.3 gr. 

Colocynthin 3.8 gr. 

Lime salts 7.6 gr. 

Coloring matter 4.6 gr. 

Alcohol • zVz dr. 

Water 2^ dr. 

Port wine 1234.0 dr. 

Mix. 

— {National Druggist.) 

LEE'S GRAVEL REMEDY. 

1$ Sapo. Venet 4 oz. 

Sal. nitre pulv 4 oz. 

Oil juniper 4 oz. 

Gum arabic pulv 1 oz. 

Sal. absynth 1 oz. 



272 NOSTRUMS. 

LEE'S LITHONTRIPTIC. 

^ Powdered castile soap 2 oz. 

Carbonate of potassium 4 dr. 

Nitrate of potassium 2 dr. 

Powdered gum arabic. . , 5 dr. 

Oil of juniper 2 dr. 

Mix. — (Druggists' Circular.) 

NUMBER THIRTEEN. 

1$ Ol. santal alb. opt 2 dr. 

Tinct. cubebs J/2 oz. 

Spts. lavender comp y 2 oz. 

Spt. nit. dulc Yi oz. 

Ol. cassia opt 15 min. 

Syr. acacia 2^2 oz. 

Mix. Dose: — A teaspoonful before meals. 

WATT'S ANTI-RHEUMATIC PILLS. 

Said to be as follows: 
I£ Powd. aloes 4 dr. 

Powd. gamboge 4 dr. 

Powd. hellebore 2 dr. 

Powd. guaic ^2 dr. 

Calomel ^ dr. 

Precip. sulphide of antimony 15 gr. 

Oil of cloves Yz dr. 

Soap 1 dr. 

Sp. of camphor sufficient. 

Mix. Make into five-grain pills. 

WASHBURNE' SALICYLICA. 

A preparation bearing a close resemblance to Salicylica 
may be made by the following simple prescription : 

I£ Salicylate of soda 4 dr. 

Make 24 powders. — (Druggists' Circular.) 

Simple syrup sufficient to make. ... 1 pt. 
Mix. One dessert-spoonful three or four times daily. 
— (Dr. Crider, in Medical World.) 



NOSTRUMS. 273 

WAYN'E DIURETIC ELIXIR. 

I£ Potass, acetate 3 oz. 

Fl. ext. buchu 3 oz. 

Fl. ext. juniper . . . . V/2 oz. 

WARNER'S SAFE CURE. 

In Germany each maker of patents must furnish the 
government with the formula for the patent he makes. 
This is the one furnished by Warner for "Safe, Kidney, 
and Liver Cure:" 

IJ Ext. of lycopus Virg. (the herb) . . . .308 gr. 

Ext. of hepatica (the herb) 232 gr. 

Ext. of gaultheria 7*4 gr. 

Potassium nitrate 39 gr. 

Alcohol (90 deg.) 2]/ 2 oz. 

Glycerine 10 dr. 

Water sufficient to make 1 pt. 

— {Formulary and Druggists' Magazine.) 



OINTMENTS, 



BECKER'S EYE SALVE. 

I£ Calmine V/2. dr. 

Tutty iy 2 dr. 

Red oxide of mercury 6 dr. 

Camphor in powder 1 dr. 

Almond oil 1 dr. 

White wax iy 2 oz. 

Fresh butter 8 oz. 

Reduce the mineral substances to a very fine powder 
and incorporate with the oil, in which the camphor has 
been dissolved with the wax and butter, previously 
melted together. — (Kilner's Modern Pharmacy.) 

[18] 



274 NOSTRUMS. 

BUCKLEN'S ARNICA SALVE. 

^ Extract arnica I oz. 

Resin cerate 8 oz. 

Vaseline 2 oz. 

Raisins, seedless 8 oz. 

Fine cut tobacco ^2 oz. 

Water q. s. 

Boil the raisins and tobacco in one pint of water until 
the strength is extracted ; express the liquid and evapor- 
ate to four ounces. Soften the extract of arnica with a 
little hot water and mix the liquid with it ; add this to the 
resin cerate and vaseline previously warmed, and mix 
thoroughly. — (Kilner's Modern Pharmacy.) 

CAZEAUX'S NIPPLE OINTMENT. 

1$ White wax 4^ oz. 

Oil sweet almonds 1 oz. 

Clarified honey j4 oz. 

Balsam Peru 2 J4 dr. 

Mix. — (Kilner.) 

CUTICURA OINTMENT 
The much advertised "Cuticura Ointment" has been 
found to consist of a base of petroleum jelly, colored 
green, perfumed with oil of bergamot and containing two 
per cent, of carbolic acid. — (Northwestern Lancet.) 

DESHLER'S SALVE. 

I£ Resin .12 oz. 

Suet 12 oz. 

Yellow wax 12 oz. 

Turpentine 6 oz. 

Linseed oil 7 oz. 

EGYPTIAN EYE SALVE. 

^ White rosin 6 dr. 

Burgundy pitch 30 gr. 

Beeswax 30 gr. 

Mutton tallow 30 gr. 

Venice turpentine 30 gr. 

Balsam fir 30 gr. 

Spread on thin leather or cloth and apply to affected 
part. 



NOSTRUMS. 275 

GREEN MOUNTAIN SALVE. 
IJ Resin 5 lb. 

Burgundy pitch 34 tb. 

Beeswax Y\. tb. 

Mutton tallow ^ tb. 

Oil of hemlock 1 oz. 

Balsam fir 1 oz. 

Oil origanum 1 oz. 

Oil of red cedar 1 oz. 

Venice turpentine 1 oz. 

Oil wormwood Yz oz. 

Verdigris (powdered) . 1 oz. 

Melt the first articles together, and add the oils ; hav- 
ing rubbed up the verdigris with a little oil, put it in with 
the other articles, stirring well ; then put into cold water 
and work until cold enough to roll. 

HARDY'S OINTMENT. 

^ Beef tallow Vj dr. 

Castor oil 6 dr. 

Gallic acid 30 gr. 

Essence vanilla sufficient to flavor. 

HEISKELL'S TETTER OINTMENT. 
Heiskell's Tetter Ointment, according to the Western 
Druggist, is said to be simply cerate of subacetate of lead. 

HOLLOWAY'S OINTMENT. 
The formula for this preparation is said to be: 

IJ Yellow wax 10 parts. 

White wax 10 parts. 

Turpentine 25 parts. 

Lard 50 parts. 

Sweet oil 75 parts. 

MAYER'S OINTMENT. 

^ Olive oil 2*/ 2 lb. 

White turpentine }i lb . 

Beeswax 4 oz. 

Unsalted butter . 4 oz. 

Mix. — (Pharmaceutical Era.) 



276 NOSTRUMS. 

MITCHELL'S EYE SALVE. 

^ Saxoline, snow white 350 gr. 

White wax 130 gr. 

Oxide of zinc 45 gr. 

Oxide of mercury 5 gr. 

Oil of lavender 10 min. 

Melt the wax and saxoline together, and stir con- 
stantly while cooling. As soon as the mass begins to 
solidify incorporate the oxides and oil of lavender. 

— {New Idea.) 

PRICE'S PILE OINTMENT. 

IJ English calomel 1 oz. 

Powdered opium y 2 oz. 

Pure carbonate of lead 1 lb. 

Oxide of zinc 1 lb . 

Olive oil 2 lb . 

Fresh lard (without salt) 2 lb. 

Mix by trituration in wedgewood mortar. It was 
put up in two-ounce gallipots, tied over with a bit of 
bladder, and was sold readily at $1, the orincipal pur- 
chasers being river and flat-boat men. 

PETTIT'S EYE SALVE. 

The formula for this old and popular remedy is as 
follows : 

1$ Olive oil 4 dr. 

Spermaceti iy 2 dr. 

White wax y 2 dr. 

Melt together, and add gradually, under trituration 
in a warm mortar, to the following in fine powder, and 

thoroughly mix: 

White precipitate 20 gr. 

Oxide zinc 30 gr. 

Acid benzoic 2 gr. 

Morphine sulph y± gr. 

Oil rosemary y 2 gr. 

Finally stir until cool, and preserve in a well covered 
vessel. — {Western Druggist.) 



NOSTRUMS. 277 

RUSSIA SALVE. 

A formula for a preparation said to resemble this 
preparation is given in the Druggists' Circular: 

1$ White pine pitch 2 lb. 

Beeswax i lb. 

Temper it with olive oil to the proper consistence. 
The "pitch" and wax are, of course, to be melted before 
the "tempering" process begins. 

SEELEY'S PILE OINTMENT. 

^ Sulph. morphia 3 gr. 

Tannin 48 gr. 

Pine tar 72 gr. 

White wax 72 gr. 

Benzoated lard 766 gr. 

STRON'S ARNICA JELLY. 
The following formula may be taken as one which 
will duplicate the proprietary article in all essential par- 
ticulars : 

^ Glycerine 1 02. 

Water 1 oz. 

Starch 120 gr. 

Fl. ext. arnica 2 dr. 

Sp. of bitter almonds (1 to 8) 2 min. 

Carbolic acid 8 min. 

Mix. — (New Idea.) 

SWAYNE'S OINTMENT. 

Its composition appears to be precipitated sulphur, 
2 parts; tallow, 3 parts; lard, 3 parts. It states on the 
label that this ointment cures tetter, itch, salt-rheum, 
scald-head, piles, ringworm, pimples, blotches, barber's 
itch, ulcers, and eruptions of the skin. — (New Idea.) 

TRASK'S MAGNETIC OINTMENT. 

^ Lard 1 oz. 

Raisins 1 oz. 

Fine cut tobacco 1 oz. 



278 NOSTRUMS. 

Simmer well together. Then strain, and press out 
all from the drugs. "This is a splendid remedy in all 
skin diseases, as salt rheum, tetter, etc.' , 

— (Kilner.) 

WITCH-HAZEL OINTMENT. 

^ Tinct. hamamelis 12 dr. 

Lanoleum 6 dr. 

Petrolatum 16 oz. 

Mix. Lanoleum is here used in place of the copy- 
righted term lanolin. 

— (Medical Standard.) 

RESTORATIVES. 

AUGSBURG ESSENCE OF LIFE. 

^ Rad. rhei 1 oz. 

Myrrhae 2 oz. 

Rad. gentian 2 oz. 

Croci opt ^2 oz. 

Camphor J^ oz. 

Rad. zedoar 1 oz. 

Rad. angelica 2.^/2 oz. 

Castor y 2 oz. 

Aloes, socot . . 2 oz. 

Sp. vini. rect 2 pts. 

Aqua 2 pts. 

Mix. Digest five days and filter. Dose — Teaspoonful 
twice a day. — {Medical World.) 

AYER'S VITA NUOVA. 

Dr. R. G. Eccles published in the Druggists' Circular 
2l lengthy article on the Hubbard- Ayer preparations, and 
calls attention particularly to the presence of cocaine in 
the Vita Nuova. We have recently examined this prep- 
aration also and find it to contain notable quantities of 
cocaine easily detected by the organo-leptic test, and also 
about 19^ per cent., by volume, of alcohol. 

—(Boston Herald.) 



NOSTRUMS. 279 

BOERHAVER'S BITTERS. 

^ Alcohol, 90 per cent 140 parts. 

Sugar 76 parts. 

Aloes 10 parts. 

Cinnamon 23 parts. 

Galangal 23 parts. 

Zedoary 23 parts. 

Angelica 23 parts. 

Cloves 23 parts. 

Gentian 23 parts. 

Quassia, cut 23 parts. 

Water 200 parts. 

Mix. — (Hager.) 

BROWN'S IRON BITTERS. 
Are said to contain in each fluid drachm : 

IJ Iron 1 gr. 

Calisaya bark 2 gr. 

Phosphorus 1-200 gr. 

Coca 1 gr. 

Viburnum prunif olium 1 gr. 

ELIXIR THION COMPOUND. 

^ Powdered rhubarb 5 oz. 

Powdered golden seal .5 oz. 

Sodium hypophosphite 100 gr. 

Sodium sulpho-carbolate 40 gr. 

Alcohol .'."'. 5 pts. 

Water 40 pts. 

Dissolve the salts in the water and alcohol and with 
this menstruum percolate the powdered rhubarb and 
golden seal. Flavor with peppermint. 

— (Indiana Medical Journal.) 

FELLOW'S HYPOPHOSPHITES. 

If Glucose 1 lb. 

Simple syrup 1 pt. 

Hypophosphite calcium 128 gr. 

Hypophosphite potassium 48 gr. 

Sulphate iron 48 gr. 



280 NOSTRUMS. 

Sulphate magnese 32 gr. 

Sulphate quinine 14 gr. 

Sulphate strychnine 2 gr. 

Water q. s. ad. 2 pt. 

Mix. — (A. B. Lyons, Therapeutic Gazette.) 

HOP BITTERS. 
The following is said to be the formula : 

I£ Tinct. of hops y 2 oz. 

Tinct. of buchu 3 dr. 

Tinct. of senega 3 dr. 

Podophyllin (dis. in spts. of wine) . . . . 10 gr. 

Tinct. of cochineal 20 drops. 

Distilled water sufficient to make. ... 1 pt. 
Mix. — (Medical World.) 

HOSTETTER'S BITTERS. 

IJ Sugar 2 lb . 

Calamus root 2 lb . 

Orange peel /2 lb . 

Peruvian bark 2 lb. 

Gentian root : . 2 lb . 

Columbo root 2 lb . 

Rhubarb 8 oz. 

Cinnamon 4 oz. 

Cloves 2 oz. 

Diluted alcohol 4 gal. 

Mix. —(The Medical Bulletin.) 

HARTER'S WILD CHERRY BITTERS. 
^ Wild cherry bark 8 oz. 

Yellow cinchona bark 1 oz. 

Orange peel 2 oz. 

Cardamom seed 1 oz. 

Asarum canadense y 2 oz. 

Alcohol dilute • . . * . 6 pts. 

Honey 1 pt . 

Syrup 1 pt. 

Percolate the drugs, in moderately fine powder, with 
the dilute alcohol, and when six pints are obtained add 
the honey and syrup. 



NOSTRUMS. 281 

KENNEDY'S MEDICAL DISCOVERY. 
3J Sneezewort I oz. 

Bitter root 4 dr. 

Mix and add: 

Boiling water 8 oz. 

Proof spirits 10 oz. 

Licorice root 4 dr. 

Macerate for 48 hours, then add : 

White sugar 4 oz. 

Tinct. gaultheria 1 oz. 

— (King's American Dispensatory.) 

LALLEMAND'S SPECIFIC. 

3J Sulph. quinia 1 dr. 

Sulph. cinchona 1 dr. 

Ext. colocynth 4 dr. 

Wine colchicum seeds. . . 8 oz. 

Tinct. verat. viride , . 1 oz. 

Dilute alcohol . . . 8 oz. 

Sherry wine 31 oz. 

Mix. Dose: — One teaspoonful. 

— (National Druggist. ) 

MOXIE. 
This "Moxie," despite the wonderful tale of its dis- 
covery, and although so "wholly unknown- to botanists/' 
is, we presume to say, a plant otherwise termed avena 
sativa. The great "Nerve Food" is a decoction of oats, 
made into a syrup and flavored with sassafras and win- 
tergreen. — (Western Druggist.) 

MURRAY'S INFALLIBLE SYSTEM TONIC, 

M. I. S. T. 
Our examination proved it to be : 

3$ Aloes 50 gr. 

Cinnamon, pulv 25 gr. 

Glycyrrhiza root, pulv. 25 gr. 

Water sufficient. 

Make into a pill mass with a little water, and divide 
into 50 parts. Press into gelatine capsules for use. 

— (New Idea.) 



282 NOSTRUMS. 

McLEAN'S STRENGTHENING CORDIAL. 

I£ Gentian root 8 oz. 

Columbo root 8 oz. 

Orange peel 2 oz. 

Coriander seed I oz. 

Cardamom seed ^2 oz. 

Serpentaria 1 oz. 

Whisky 7 pts . 

Glycerine 1 pt. 

Grind the drugs to coarse powder, moisten with 
whisky, pack in the percolator, percolate with the 
whisky, forcing out the last with water, and in the per- 
colate mix the glycerine. 

NERVURA NERVE TONIC. 

Smile-ax writes to the Druggists' Circular that he is 
informed from a reliable source that Dr. Green's Nervu- 
ra so much advertised is composed about as follows: 

1$ Coca tincture 4 oz. 

Damiana tincture 4 oz. 

Calisaya tincture 4 oz. 

While by no means a ''wonderful discovery" still if 
made from the best materials it would afford a handsome 
profit to the manufacturer. 

PAINE'S CELERY COMPOUND. 

^ Celery seed 2 oz. 

Red cinchona 1 oz. 

Orange peel % oz. 

Coriander seed 34 oz - 

Lemon peel *4 oz - 

Hydrochloric acid 15 drops. 

Alcohol 5 oz. 

Glycerine 3 oz. 

Water 4 oz. 

Syrup . 4 oz. 

Grind the solids to No. 40 powder, mix the acid and 
the water, add the glycerine and alcohol, and in the 



NOSTRUMS. 283 

menstruum so prepared macerate the powder for twenty- 
four hours; then percolate, adding enough water and 
alcohol in the proportion to make 12 fluid ounces. Final- 
ly add the syrup and if necessary, filter. 



PERUNA. 

I£ Copaiba 6 dr. 

Cubebs 2 dr. 

Calisaya bark, ground 2 oz. 

Stone root (Collinsonia) ground 2 oz. 

Corydalis (Turkey Corn) ground 2 oz. 

Deodorized alcohol 1 pt. 

Add all the ingredients to the alcohol. Let stand 
one week. Shake the bottle frequently, and finally strain 
through several thicknesses of muslin, or filter through 
filtering paper, which may be obtained at any drug store. 



PIERCE'S FAVORITE PRESCRIPTION. 

^ Savin 150 gr. 

Cinchona 150 gr. 

Agaric 75 gr. 

Cinnamon 75 gr. 

Water sufficient to make a decoction 

of 8 oz. 

To this add: 

Acacia 150 gr. 

Sugar 75 gr. 

Tinct. digitalis y 2 dr. 

Opium y 2 dr. 

Oil anise 8 min. 

Dissolve the gum and sugar in the strained decoction, 
then add Alcohol, 2 fluid ounces, in which the oil has 
previously been dissolved. 

— (Hager.) 



284 NOSTRUMS. 

PIERCE'S GOLDEN MEDICAL DISCOVERY. 

^ Fluid extract of cinchona 16 oz. 

Fluid extract of columbo 4 oz. 

Third extract of guaiacum 8 oz. 

Fluid extract of licorice 4 oz. 

Tincture of opium 1 oz. 

Podophyllin (resinoid) 120 gr. 

Glycerine 6 pt. 

Alcohol sufficient. 

Dissolve the podophyllin in the alcohol, and add the 
rest of the ingredients. Mix them. Dose: — A tea- 
spoonful. — (The Drug Mill.) 

SCOTCH OATS ESSENCE. 

Recent analysis assert that a certain nostrum, "Scotch 
Oats Essence" widely advertised as a wonderful nerve tonic 
containing neither alcohol nor other harmful ingredients, is, 
in fact, loaded with 35 per cent, alcohol, and with two grains 
of morphine to each bottle. — ( Western Druggist. ) 

WALKER'S VEGETABLE VINEGAR BITTERS. 

I£ Aloes Socotrin 2 dr. 

Guaiaci Resinae 4 dr. 

Sassafras Mucil 1 oz. 

Aceti 2 dr. 

Aquae q. s. 

Coque, et ft. dococtum, ad 19 ounces deinde cola, et 
ad dan t c. r — 

Sodii Sulphatis 1 oz. 

Acaciae 2 dr. 

Spt. Anisi, 10 p. c 2 dr. 

Alcoholis 1 oz. 

Mix. Dose: — Two teaspoonfuls. — (Eberbach.) 

WILLIAMS' PINK PILLS FOR PALE PEOPLE. 

I> Iron, pure sulphate of y 2 oz. 

Potash, carbonate of ... . ........ . 140 oz. 

Sugar 48 oz. 



NOSTRUMS. 285 

7'ragacanth in fine powder 16 oz. 

Glycerine 10 drops. 

Water enough to make a mass. 
Mix all thoroughly and divide into 150 pills. Coat with 
pink colored sugar. 

STOMACH REMEDIES. 

COE'S DYSPEPSIA CURE. 

If Powdered rhubarb 2 dr. 

Fluid ext. of gentian 3 dr. 

Peppermint water 73^ oz. 

Bicarbonate of sodium 6 dr. 

Mix. Dose: — A teaspoonful half an hour before 
meals. — (The Drug Mill.) 

'STUART'S DYSPEPSIA TABLETS. 

Each tablet contains the following : 

If Common baking soda . . 10 gr. 

Morphine 1.10 gr. 

GREEN'S AUGUST FLOWER. 

If Rhubarb 360 gr. 

Golden seal . . 90 gr. 

Cape aloes 16 gr. 

Peppermint leaves 120 gr. 

Carb. of potash 120 gr. 

Capsicum 5 gr. 

Sugar 5 oz. 

Alcohol 3 oz. 

Water 10 oz. 

Ess. of peppermint 20 min. 

Powder the drugs and macerate with the mixed 
alcohol and water for several days ; filter and add enough 
alcohol to make the product measure one pint. 

— (New Idea.) 

RIPANS' STOMACHIC TABLETS. 
These widely advertised Stomachic tablets are said to 
derive their name from the first letter of the name of the 



286 NOSTRUMS. 

ingredient they contain which spells R-I-P-A-N-S. Each 
tablet containing the following : 

^ Rhubarb powd 2 gr. 

Ipecac powd 1-20 gr. 

Peppermint l /% min. 

Aloes Y* gr. 

Nux vomica % g r - 

Sodium bicarb 5 gr. 

Dose : — One or two tablets after each meal. 
The above combination offers a splendid tonic-digestant 
of known power and activity. The chief aim in dyspepsias 
is, not to perform the act that is lacking, but to stimulate 
the organs to perform this for themselves. Thus, this com- 
bination tends to stimulate all the secretions of the prima 
vitae and enable each and every organ connected with the 
digestive and assimilative processes to functionate. 

Where digestive ferments — pepsin and pancreatin and 
their deriatives — are employed, it is with the expectation 
that they will artificially and mechanically perform the offices 
that belong to the digestive organs, leaving the latter no 
labor but that of assimilation. The result is a putrefaction 
process that, theoretically, reduces proteids to an assimilable 
form. Stomachic Tablets, on the contrary stimulate the 
organs themselves to normal activity, whereby digestion 
becomes a physiological instead of forced and mechanical 
act. and ensures, with a reasonable degree of certainty, the 
desired assimilative function. 

TOILET PREPARATIONS. 

COKE'S DANDRUFF CURE. 
This preparation is said to be a solution containing 
large quantities of resorcin, which renders it a valuable 
antiseptic in parasitic conditions of the scalp. 

ELY'S CREAM BALM. 

9 Vaseline 1 oz. 

Thymol 3 gr- 

Carb. bismuth 15 gr. 

Oil wintergreen 2 min. 

Mix. — {Kilner's Modern Pharmacy.} 



NOSTRUMS. 287 

ESPEY'S CREAM. 

^ Cydonium iy 2 dr. 

Ac. boric 4 gr. 

Glycerine 2 oz. 

Alcohol 3 oz. 

Carbolic acid 10 gr. 

Cologne water 2 dr. 

Rose water q. s. ad 1 pt. 

Dissolve the boric acid in four ounces of rose water, 
macerate cydonium in solution for three hours, press 
through straining cloth, add glycerine, alcohol, cologne 
and sufficient rose water to make one pint. Lastly add 
the carbolic acid and shake well. — (Druggist Circular.) 

FALKE'S SULPHOLINE CREAM. 

J$ Very thick mucilage of quince 

seeds 300 parts. 

Glycerine 40 parts. 

Sulpho-carbolate of sodium 20 parts. 

Mix. — (New Idea.) 

H fLMBOLD'S TELLY OF GLYCERINE AND ROSES. 

Our examination shows the following to be the formula 
for the above : 

K Tragacanth 1 dr. 

Triple ext. of rose. . 6 drops. 

Glycerine 2 oz. 

Water 4 oz. 

— (Nezv Idea.) 

HIND'S HONEY AND ALMOND CREAM. 

According to Mr. Geo. H. Rose, this preparation may 
be practically duplicated by the following formula : 

3£ Ointment of rose-water 5 parts. 

Oil of sweet almonds 5 parts. 

Glycerine 5 parts. 

Boric acid 5 parts. 



288 NOSTRUMS. 

Solution of soda, U. S. P 12 parts. 

Mucilage of quince seed (2 drs. to 

1 pt.) 25 parts. 

Water sufficient to make 200 parts. 

Oil of bitter almond, and oil of rose, of each, sufficient 
to perfume. 

LYON'S KATHAIRON. 
The following formula will exactly duplicate the original: 

If Castor oil 1 oz. 

Tinct. cantharides 1 dr. 

Oil of bergamot 20 min. 

Stronger water of ammonia 1 min. 

Alcohol sufficient to make 3 oz. 

Mix. — (New Idea.) 

PALMER'S COSMETIC LOTION. 

It is said to be a weak (one per cent.) solution of sulpho- 
carbolate of zinc in glycerine and rose-water. 

RECAMIER BALM. 

If Zinc oxide 5 lbs. 

Glycerine 2 dr. 

Alcohol 2 oz. 

Mercuric chloride 4 oz. 

Distilled water 64 qts. 

— (Boston Herald.) 

RECAMIER CREAM. 

If Rice flour 48 oz. 

Zinc oxide . 60 oz. 

Glycerine 640 oz. 

Cocoa butter 48 oz. 

Lard 48 oz. 

Mercuric chloride 4 oz. 

Make 32 pints. — (Boston Herald.) 

SKINNER'S DANDRUFF MIXTURE. 

IJ Chloral hydrate 1 part. 

Glycerine 4 parts. 

Bay rum 16 parts. 

Mix. — (National Druggist.) 



NOSTRUMS. 289 

VERMIFUGES. 

BROWN'S MALE-FERN VERMIFUGE. 

If Fl. ext. male fern 3 oz. 

Oil wintergreen 1 min. 

Simple syrup 5 oz. 

Mix. — {New Idea.) 

FAHNESTOCK'S VERMIFUGE. 

IJ Castor oil : 48 parts. 

Oil worm-seed 48 parts. 

Oil anise 24 parts. 

Oil turpentine 1 part. 

Tinct. myrrh 3 parts. 

Mix. — {National Druggist.) 

FREEMAN'S VERMIFUGE OIL. 

If Oil of worm-seed y 2 oz. 

Oil of turpentine 2 dr. 

Castor oil iy 2 oz. 

Pink root y 2 oz. 

Hydrastin 10 gr. 

Syrup of peppermint y 2 oz. 

Dose for a child 10 years old, a teaspoonful three 
times a day, one hour after each meal. If it purges too 
freely, give it less often. 

KENNKLE'S VEGETABLE WORM SYRUP. 

According to our examination each bottle contains : 
If Santonine 27 gr. 

Oil sassafras 1 min. 

Alcohol 2 oz. 

Fl. ext. pink-root 2 oz. 

Fl. ext. dandelion y 2 oz. 

Fl. ext. golden seal *4 oz - 

Molasses y 2 oz. 

The santonine in a finely triturated condition. 

— {New Idea.) 

[19] 



290 NOSTRUMS. 

PATTERSON'S EMULSION OF PUMPKIN SEEDS. 

Patterson's Emulsion of Pumpkin Seeds is said to be a 
good emulsion for expelling tapeworms. 

Take two ounces of pumpkin seeds, peel and pound to a 
paste with sugar, then add by degrees eight fluid ounces of 
water, the whole to be taken in two or three draughts at 
short intervals. 

PROCTOR'S VERMIFUGE. 

I£ Santonine 16 gr. 

Fluid ext. of senna 2 oz. 

Fluid ext. of pink-root 2 oz. 

Dose for a child two years old, one teaspoon ful night 
and morning until purging takes place. Used to expel 
stomach worms from children. 

SWAIM'S VERMIFUGE. 

I> Worm-seed 2 oz. 

Valerian iy 2 oz. 

Rhubarb iy 2 oz. 

Pink-root iy 2 oz. 

White agaric iy 2 oz. 

Boil in sufficient water to yield 3 quarts of decoction, 
and add the following oils dissolved in a quart of rectified 
spirits : 

Oil of tansy .....' 30 drops. 

Oil of cloves 45 drops. 

MISCELLANEOUS NOSTRUMS. 

ARABIAN BALSAM. 

I£ Oleum gossypium 15 oz. 

Oleum origani 1 oz. 

Oleum terebinth 4 dr. 

Mix. — (S. W. Rogers.) 

ASEPTIN. 

1$ Borax 2 parts. 

Alum > 1 part. 

Mix. — (National Druggist.) 



NOSTRUMS. 291 

ATKINSON'S INFANT PRESERVATIVE. 

3J Carbonate magnesia 6 dr. 

White sugar 2^ oz. 

Oil anise 20 drops. 

Comp. spirits ammonia 2^ dr. 

Rectified spirits . . . 2^4 dr. 

Tinct. opium 1 dr. 

Syrup saffron 1 oz. 

Caraway water enough to make 1 pint. 

Mix. Used as an antacid, anodyne and hypnotic. 

— (Pharm. Record.) 

BENSON'S SKIN CURE. 

This secret nostrum consists of two preparations, one 
for internal use and one for external application. 

A — Internal. — It consists, according to our examina- 
tion, of clover blossoms 720 grains, yellow-dock root 90 
grains, gentian root 120 grains, boiled (one hour) with 
one pint of water. Cool, transfer to a closed vessel, and 
add one ounce of alcohol in which has previously been 
•dissolved oil of rosemary, oil of thyme each one minim ; 
let it stand over night, strain next morning; make up to 
one pint with water sufficient. 

B — External Application. — This solution consists, ac- 
cording to our examination, of acetate of lead 2 grains, 
acetate of copper 1 grain, acetate of zinc 15 grains, ben- 
zoated water 12 fluid ounces ; mix. The benzoated water 
is readily prepared by agitating half an ounce of tincture 
of benzoin with 12 ounces of warm water, allowing it to 
cool and settle ; then filter. It is warranted to cure all 
the skin diseases described in the medical dictionaries. 

— {New Idea.) 

BRUNELLI PROCESS OF EMBALMING. 

The circulatory system is cleansed by washing with 
cold water until it issues quite clear from the body. 
This may occupy from two to five hours. Alcohol is in- 
jected so as to take out as much water as possible. This 



292 NOSTRUMS. 

occupies about a quarter of an hour. Ether is then in- 
jected to abstract the fatty matter. This occupies from 
two to ten hours. A strong solution of tannin is then 
injected. This occupies for imbibition from two to ten 
hours. The body is then dried in a current of warm air 
passed ever heated chloride of calcium. This may 
occupy from two to five hours. The body is then pre- 
served and resists decay. 

BROMO-CHLORALUM. 

Kilner gives the following: 

3J Alum, coarse powder I lb. 

Boiling water 2 pts. 

Aqua ammonia q. s. 

Muriatic acid q. s. 

Bromine y 2 oz. 

Water q. s. y 2 gal. 

BARNE'S FROST BALSAM. 

IJ Copaiba ^2 oz. 

Oil turpentine */2 oz. 

CASTORIA. 

The following formula, from the Indiana Pharmacist, 
is given as approximating this preparation : 

I£ Senna 4 dr. 

Manna 1 oz. 

Rochelle salts 1 oz. 

Fennel, bruised 1^2 dr. 

Boiling water 8 oz. 

Sugar 8 oz. 

Oil of wintergreen q. s. 

Pour the water on the ingredients. Cover and 
macerate until cool ; strain and add the sugar, dissolve 
by agitation and add oil of wintergreen to flavor. 

CHLORALUM. 

3J Aluminum chloride 20 oz. 

Sulphate of lime y$ oz. per gal. 

Mix. — {New Idea.) 



NOSTRUMS. 293 

ELEPIZONE. 

1£ Magnesii bromidi 3 dr. 

Sodii bromidi 3 dr. 

x\quae i 1 /* oz. 

Ol. cassiae 2 min. 

Syr. simplex sufficient to make 4 oz. 

Ammonical sol. carmine to color. — {New Idea.) 

FROSTILLA. 

I£ Quince seeds 60 gr. 

Hot water .21 oz. 

Glycerine 6 oz. 

Deodorized alcohol 5 oz. 

Mix. — {Druggists' Circular.) 

GRAY'S SPECIFIC PILLS. 

R Asafoetida 2 gr. 

Camphor 1 gr. 

Lupuline y$ gr. 

The specific action is in the direction of an aphro- 
disiac. — {Western Druggist.) 

HAINES' GOLDEN SPECIFIC FOR OPIUM HABIT. 

5 Bayberry-root bark, powdered 16 oz. 

Ginger, powdered 8 oz. 

Capsicum, powdered 1 oz. 

Mix. — ( Western Druggist. ) 

HAMBURG BREAST TEA. 

It is said that a preparation similar to this may be made 
hy mixing : 

IJ Marshmallow flowers 8 oz. 

Licorice root 3 oz. 

Orris root 1 oz. 

Coltsfoot 4 oz. 

Mullein flowers 2 oz. 

Anise seed 2 oz. 



294 NOSTRUMS. 

HAMBURG DROPS. 

I£ Powdered socotrine-aloes i l / 2 oz. 

American saffron l / 2 oz. 

Tincture of myrrh 16 oz. 

Macerate for fourteen days and filter through paper. 

HUNTER'S RED DROPS. 

I£ Corrosive sublimate 10 gr. 

Muriatic acid 12 drops. 

Rub in a glass mortar and gradually add : 

Compound spirits of lavender 1 oz. 

Dose : — Five to twenty drops in wine, or spirits and 
water. A powerful alterative in syphilitic diseases. 

KING'S ROYAL GERMETEUR. 

I£ Sulphuric acid 2 oz. 

Water (saturated with sulphureted hy- 
drogen) 1 oz. 

Hydrant or well water to make 1 gal. 

Mix. — {Dixie Doctor.) 

LAVARRE'S SURE CURE. 

I£ Fl. ext. poke berries 80 min. 

Fl. ext. sassafras 40 min. 

Liquid ammonia, caustic 5 min. 

Sodium bromide 20 gr. 

Alcohol y 2 oz. 

Oil of peppermint 1 min. 

Powdered cochineal 4 gr. 

White sugar 3 dr. 

Water (enough to make) 4 oz. 

Mix. —{New Idea.) 

LIQUID CARBONIS DETERGENS. 

Ty Quillaya saponaria (soap bark) 4 lb. 

Alcohol (65 per cent.) . . 2 gal. 

Macerate and filter : 

Tinct. (as above) 100 parts. 

Coal tar 50 parts. 

Mix. After eight days, filter. Used externally in skin 
diseases. 



NOSTRUMS. 295 

LOWNDES' MAGIC CREAM. 

J$ Hydrarg. ammoniat I part. 

Zinc oxide 3 parts. 

Must be thoroughly incorporated in powder; sufficient 
glycerine and lard then adjjed to make a stiff cream. For 
application to venereal ulcers. 

LYDIA PINKHAM'S VEGETABLE COMPOUND. 

J£ Cramp bark 4 oz. 

Partridge berry vine 4 oz. 

Popular bark 2 oz. 

Unicorn root 2 oz. 

Cassia 2 oz. 

Beth root i~y 2 oz. 

Sugar 1 y 2 lb . 

Alcohol 1 pt . 

Water, a sufficient quantity. 
The drugs should all be reduced to a moderately coarse 
powder; pour on boiling water, let stand until cold, then 
percolate with water until the percolate measures one pint, 
add the sugar, bring to a boil, remove from the fire, and 
when cold add the alcohol and strain, 
three or four times a day. 

Dose : — One or two teaspoonfuls of this may be taken 

METZ'S BALSAM. 
Metz's Balsam which is quite popular in some sections 
of the country, it is said is prepared as follows : 

1? Linseed oil 180 parts. 

Olive oil 180 parts. 

Oil of laurel berries 30 parts. 

Turpentine (oleo-resin) 60 parts. 

Melt by a gentle heat and add : 

Powdered aloes 8 parts. 

Powdered verdigris 12 parts. 

Powdered white vitrol 6 parts. 

Pour into. a bottle and add: 

Oil of juniper 15 parts. 

Oil of cloves 4 parts. 

Mix by shaking. It is used as a dressing for ulcers, 
boils, wounds, etc. — (National Druggist.) 



296 NOSTRUMS. 

MOTHER SIEGEL'S SYRUP. 

3J Cone, decoction of aloes ( I to 4) . . . . 60 min 

Borax 1.3 gm 

Capsicum, powdered 0.13 gm 

Gentian, powdered 2.3 gm 

Sassafras oil 0.3 gm 

Wintergreen oil 0.12 gm 

Rectified spirits 7.5 gm 

Fluid extract dandelion 7.5 gm 

Syrup 125 gm 

PHENOL SODIQUE. 

B Carbolic acid 188 gr. 

Caustic soda 31 gr. 

Distilled water 4 oz. 

PLEIS' FIT POWDERS. 

1^ Bromide of potassium 15 gr. 

Powdered gentian 5 gr. 

Mix. Make one powder. — {The Drag Mill.) 

PLATT'S CHLORIDES. 
Piatt's Chlorides we found to be approximately as fol- 
lows : 

ly Magnesium chloride 1^4 parts. 

Potassium chloride 1^ parts. 

Sodium chloride I 1 /?, parts. 

Zinc chloride 7^2 parts. 

Aluminum chloride 71/2 parts. 

AVater, sufficient quantity 100 parts. 

Mix. — {New Idea.) 

RADAM'S MICROBE KILLER. 

Dr. R. G. Eccles, in the Druggists' Circular, gives the 
following formula for the preparation : 

I£ Sulphuric acid (strong) s . .4 dr. 

Hydrochloric acid 1 dr. 

R.ed wine (about) 1 oz. 

Well water 1 gal . 



NOSTRUMS. 297 

REX MAGNUS. 
According to Science, the composition is roughly indi- 
cated by the following formula : 

B Boric acid 33^ per cent. 

Borax .-33/^ P er cen t- 

Chloride of potassium.' 15 per cent. 

Water 18 per cent. 

REVALENTA ARABICA FOOD. 
Consists solely of Lentils ground up into a fine powder. 

— {Stokes, in Hygiene.) 

ROCHE'S HERBAL EMBROCATION. 
I£ Digest asafoetida 2^ parts. 

with 
Olive oil 60 parts. 

for some hours ; decant and mix 

the solution with — 

Oil caraway 2 parts. 

Oil turpentine 2 parts. 

And add a few drops of oil gaultheria. 

— ( Western Druggist. ) 

SEA-SHORE DIPHTHERIA AND SORE THROAT 
SPECIFIC. 
The following formula will make a preparation practi- 
cally identical with the original : 

I£ Sol. of chloride of iron 18 min. 

Zinc chloride 2 gr. 

Magnesia chloride ; . . . . 2 gr. 

Sodium chloride 4 gr. 

Chlorate of potassium 6 gr. 

Water . . .' 2 oz. 

Mix. — {Nezv Idea.) 

SEVEN BARKS. 

IJ Extract of hydrangea 1 lb. 

Extract of poke root 12 lb. 

Extract of Culver's root 12 lb. 

Extract of dandelion 12 lb. 



293 NOSTRUMS. 

Extract of lady-slipper 12 lb. 

Extract of colocynth 12 lb. 

Extract of bloodroot 6 lb. 

Extract of blue flag 6 lb. 

Extract of stone-root 6^4 lb. 

Extract of golden seal 7^ lb. 

Extract of mandrake 24 lb. 

Extract of black cohosh 24 lb. 

Extract of butternut 48 lb. 

Spirits of sea salt 14J/2 lb. 

Aloes 10 lb. 

Borate of sodium 15 lb. 

Infusion of capsicum 4^ lb. 

Powdered sassafras 11 lb. 

Ginger 6 lb. 

Sugar-house syrup 40 gal. 

Water, sufficient to make 98 gal. 

Mix. — (E. H. Greeley, in National Druggist.) 



SEQUAH'S PRAIRIE FLOWER. 

Has to the ounce — 

I£ Aloes 52^ gr. 

Carbonate of soda iy]/ 2 gr. 

Water 362^ gr. 

And a few drops of the Tincture of Capsicum and Myrrh. 

— {Stokes, in Hygiene.) 

SIROP GIBERT. 

Is a favorite French anti-syphilitic remedy, and has the 
following composition : 

1^ Biniodide of mercury 2 gr. 

Iodide of potassium 100 gr. 

Simple syrup 6 oz. 

Mix. Dose : — Two teaspoonfuls given after meals, three 
times a day. 



NOSTRUMS. 299 

TAMAR INDIEN. 

]$ Tamarind pulp 450 parts. 

Powd. sugar 40 parts. 

Powd. sugar of milk 60 parts. 

Glycerine 50 parts. 

Mix and evaporate to the consistency of a soft extract, 
then add — 

Powd. anise 10 parts. 

Essence lemon 3 parts. 

Tartaric acid 3 parts. 

Mix and divide into 100 boluses and roll in the following 
mixture — 

Cream of tartar 5 parts. 

White sugar 35 parts. 

Sugar of milk 35 parts. 

Tragacanth 2 parts. 

Tartaric acid 2 parts. 

Powd. red sandal 25 parts. 

Dry and put up in tin foil. — (American Druggist.) 

TRAFTON'S BALM OF LIFE. 

^ Iodide of potassium 80 parts. 

Fl. ext. of opium 20 parts. 

Fl. ext. of senega 50 parts. 

Fl. ext. of squills 120 parts. 

Alcohol 240 parts. 

Water enough to make, by measure 1920 parts. 
Filter. — (New Idea.) 

TOLU, ROCK, AND RYE. 

R Good whisky 1 gal . 

Rock candy 4 lb . 

Balsam tolu 2 oz. 

Put the whole into a two-gallon jug. Set in a warm 
place and agitate several times a day until the candy is dis- 
solved. Then strain through muslin. 



300 NOSTRUMS. 

WOOLFORD'S SANITARY LOTION. 

A preparation which is substantially the same in every 
respect may be made from the following formula : 

1$ Sodium hydrate 3 dr. 

Sulphur 5 dr. 

Water to make 1 pt . 

Dissolve the sodium hydrate in 4 or 5 ounces of water 
and add sulphur, and boil until the preparation assumes a 
reddish-brown color, which will require probably 15 or 20 
minutes. It may now be diluted to one pint and sulphureted 
hydrogen passed through it for a few minutes, and then 
filtered. — (New Idea.) 

YELLOW FAMILY DROPS. 

^ Opium 2 oz. 

Sapo venet 1 lb . 

Croci opt -. . . . 2y 2 oz. 

Sp. rosemarini 2 lb . 

Mix. Digest for a week and add — 

Ol. rosmarini 2 oz. 

Ol. origani 2 oz. 

Camphor 2 oz. 

Mix well. 

For spirit rosmarini, take — 

Rosmarini 3 oz. 

Alcohol, sufficient to make 2 lb. 

The above, with the Augsburg Essence of Life and 
Green Wonder Oil, are famous old formulae used for a 
century and longer in Pennsylvania. They came to me by 
chance in a curious old book of prescriptions, which be- 
longed to one of the Fahnestock family. The Yellow Fam- 
ily Drops are still used tp break up colds, and are an efficient 
remedy. — (Prof. Waugh, in Medical World.') 



INDEX. 



301 



INDEX. 



PAGE. 

Acetanilid in Nostrums 222 

Actina 256 

A dvertising | 

Albadermine 145 

ALCOHOL and Drug Habit Spec- 
ialist 26 

Alcoholism, Treatment For.... 29 

Dr. Gray's Treatment For 60 

Dr. Keeley's Treatment For 
Alcoholism, Alcoholic Gastri- 
tis, Neurasthenia, and Tobac- 
co Habit 56 

Triumph Cure for Alcoholism, 
Morphine, Cocaine, Chloral, 

and Tobacco Habit 45 

Drug Addiction, Treatment For 35 
Gradual Reduction Method — 35 

Three Day Cure 39 

Allen' s Lung Balsam 243 

Alteratives 225 

Allen's Hair Restorer 140 

Ammonol 222 

Amick's Consumption Cure 243 

Anaesthetine 171 

Anaestheto Obtundent 173 

Antikamnia 222 

Anodynes 222, 228 

Antikol 223 

Antinervin 223 

Anti-Fat 17 

Aperients 231 

Arabian Balsam 290 

Arophene 174 

Asthma Remedies 13, 236 

Aseptin 290 

Athlophoros 270 

Atkinson's Infant Preservative. 291 

Augsburg's Essence of Life 278 

Auricome 137 

Ayer's Ague Cure 254 

Ayer's Pills 231 

Ayer's Hair Vigor 139 

Ayer's Sarsaparilla 225 

Ayer's Vita Nuova 278 

Bareel's Indian Liniment 258 

Barker's Nerve and Bone Lini- 
ment 258 

Barnes' Frost Balsam 292 

Bateman's Pectoral Drops 244 

Barr's Anaesthetic 173 

BEAUTY Specialist 132 

Treatment For Bust Develop- 
ment 141 

Bleaching the Hair 137 

Dying the Hair 135 

Ecchymosis 149 

Removing Superfluous Hair... 138 



PAGE. 

BEAUTY Specialist— Continued. 

Restoring the Hair 139' 

Shampooing the Hair 138 

Face Bleaches 133 

Rejuvenating Treatment 133 

Steaming Treatment 133 

Plaster Treatment 134 

Tan and Freckle Treatment.. 144 

Becker's Eye Salve 273 

Beggs' Ague Pills 254 

Benson's Skin Cure 291 

Big G Injection 257 

Blair's Gout Pills.. 270 

Boerhaver's Bitters 279 

Bordet's Hair Tonic 140 

Boschee's German Syrup 244 

Brady crotine 228 

Brandreth's Pills 231 

Brodie's Asthma Liniment 259 

Brodie's Liniment 259 

Bromidia 221 

Bromo-Chloralum 292 

Bronchillin , 244 

Brown's Bronchial Troches 244 

Brown's Dentifrice 176 

Brown's Iron Bitters 279 

Brown's Male-Fern Vermifuge.. 289 
Brunelli's Process of Embalm- 
ing 291 

Buckler's Croup Mixture 245 

Bucklin's Arnica Salve 274 

Bull's Blood Syrup 225 

Bull's Cough Syrup 245 

Calder's Dentine 176 

California Liniment 259 

Cascarets 16 

CANCER Specialist 61 

Bougard's Paste 75 

Caustic Remedies 70 

Cerny and Trunecek's Treat- 
ment 75 

Cosme's Paste 75 

Colloma 67 

Davisson's Cancer Remedy — 76 

Encephaloma 65 

Epithelioma 66 

Esmarck's Paste 79 

Fell's Paste 77 

Fuschius Paste 79 

Guy' s Arcanum 79 

Hebra's Paste 79 

Howard's Cancer Clay 78 

Hue's Treatment 76 

Internal Treatment 70 

Kline's Paste 77 

Dandolfi's Paste 74 

Lassar's Paste 80 



302 



INDEX. 



CANCER Specialist— Continued. 

Lutterloh's Paste 80 

Melanoma 68 

Ozone Plaster 78 

Sarcoma 62 

Scirrhus 64 

Sherman's Paste 80 

Wheeler's Paste 76 

Carbolate Iodine Inhalant 257 

Carbolic Smoke Balls 256 

Carminatives 237 

Carter's Liver Pills 232 

Castoria 292 

Catani's Specific 270 

Catarrh Remedies 240 

Caseaux's Ointment 274 

Centaur Liniment 259 

Chamberlain's Diarrhoea Rem- 
edy 237 

Chamberlain's Relief 237 

Charcot, Dr 183 

Child's Cough Mixture 245 

Chloralum 292 

Citrolene Dentifrice 178 

Chlorodyne 228 

Churchell's Prescription 213 

Clark's Blood Mixture 225 

Cleary's Asthma Powder 236 

Coaline Headache Powders 229 

Cobb's Pills 270 

Coe's Dyspepsia Cure 285 

Coke's Dandruff Cure 286 

Combe's Aperient 232 

Comedone Lotion 146 

Cook's Liniment 260 

Corn Remedies 242 

Corrassa Compound 214 

Cost of Nostrums 218 

Cram's Lightning Fluid 260 

Cretae Cream 177 

Cuticura Ointment 274 

Cuticura Resolvent 226 

Dellenbaugh's Cough Cure 245 

DENTAL Specialist 150 

Dentistry 150 

Cocaine 151 

How to Operate 164 

Hypodermic Syringe lbi 

Obtundent Formulae 15S 

Nostrums Used 170 

Dentifrices 174 

Dens Anti Poena 171 

Dental Surprise 173 

Dentine 177 

Dentalba 178 

Dentenamel ...ISO 

Dickson's Anaesthetic 172 

Dorsenia 172 

Derby's Liniment 260 

Deshler's Salve 274 

Dow's Physic 232 

Eclectic Liniment 261 

Edison's Polyform 238 

Edwards' Alterative Bitters 226 

Egyptian Eye Salve 274 

Elepizone 293 

Elixir Iodo-Brom. of Calcium 

Comp. 226 

Elixir Pinus Comp 245 

Elixir Thion Comp 279 

Elliman's Royal Embrocation.. 261 



Ely's Cream Balm 286 

Enos' Fruit Salt 232 

Enuresis 16 

Epsey's Fragrant Cream 287 

Epilepsy 15 

Ethical Specialist 21 

Eureka Anaesthetic 173 

Eye Remedies 254 

Expectorants 243 

Exodyne 223 

Fahnestock's "Vermifuge 289 

Falke's Cream 287 

Fever and Ague Remedies 254 

Febrinol 223 

Febriline 255 

Fere, Dr 184 

Fellows' Hypophosphites 279 

Finger Nail Polish 147 

Firewein 246 

Flagg's Relief 238 

Fleury's Cascarine 232 

Ford's Balsam 247 

Fosgate's Anodyne 238 

Fragrant Sozodont Powder 175 

Freeman's Vermifuge 289 

Frostilla 293 

Funk's Cream of Roses 148 

Gadberry's Mixture 255 

Garfield Tea 232 

Gargling Oil 261 

GENITO-Urinary Specialist 109 

Gonorrhoea and Gleet 115 

Impotency 114 

Nocturnal Emmissions 114 

Prostate Gland 110 

Spermatorrhoea 112 

Stricture 116 

Syphilis 116 

Genuine White Oil Liniment — 263 

Giles' Liniment 263 

Gold Cure 26 

Golden Eye Water 254 

Combault's Caustic Balsam 262 

Gooche's Cough Cure 247 

Good Samaritan Cough Syrup.. 247 

Good Samaritan Liniment 262 

Grandmother's Own Cough 

Remedy 247 

Gray's Specific Pills 293 

Great London Liniment 263 

Green Mountain Salve 276 

Green's August Flower 285 

Green Wonder Oil 261 

Grimault'vs Injection of Matico..257 

Gunn's Liniment 262 

GYNAECOLOGICAL Specialisttll9 

Diseases of Women 119 

Combined Treatment For 127 

Extra-Uterine Treatment 121 

Intra-Uterine Treatment 122 

Impotency 129 

Internal Treatment 126 

Non-Surgical Treatment 119 

Hagan's Magnolia Balm 147 

Haines' Golden Specific 293 

Hairs' Asthma Cure 237 

Hall's Catarrh Cure 240 

Hall's Hair Renewer 140 

Hall's Hygenic Treatment 193 

Halloway's Pills 233 



INDEX. 



303 



PAGE. 

Hamburg Tea 293 

Hamburg Drops 294 

Hair Shampoo 138 

Hamlet's Ague Pills 255 

Hamlin's Wizard Oil 263 

Hanson's Corn Cure 242 

Hardy' s Ointment 275 

Harlem Oil 264 

Harter's Bitters 280 

Hartley's Cure 212 

Heart Disease 15 

Heiskell's Ointment 275 

Helmbold's Buchu 271 

Helmbold's Jelly 287 

HERNIA Specialist 99 

Application of Trusses 100 

Excelsior Hernia Fluid 102 

Field's Fluid 106 

Fidelity Fluid 108 

Heaton's Fluid 106 

Hvpodermic Treatment 101 

Miller Treatment 108 

Method of Injecting 102 

Provost's Fluid 107 

Saunder's Fluid 107 

Testing the Cure 105 

Walling's Fluid 107 

Himrod's Asthma Cure 236 

Hinds Cream 287 

Hinkley' s Liniment 264 

Holloway's Ointment 275 

Holloway's Pills 233 

Holmes' Liver Pills 233 

Hop Bitters 280 

Hostetter's Bitters 280 

Hunter's Red Drops 294 

Hunvadi Janos Water 233 

HYPNOTIC Specialist 181 

Hypnotism 181 

As a Therapeutic Agent 188 

Awakening from 188 

History of Hypnotism 182 

Methods of Inducing 184 

Simple Suggestion 190 

Things that Prevent 187 

Imperial Tooth Powder 179 

Inhalents 256 

Injections 257 

Injection Brou 258 

Itinerant Specialist 7 

Jackson's Cough Syrup 248 

Jayne's Alterative 227 

Jayne's Expectorant 248 

Jessop's Anaesthetic 172 

Keating's Cough Lozenges 248 

Kellogg's Red Drops 238 

Kendall's Spavin Cure 264 

Kennedy's Discovery 281 

Kennkle's Worm Syrup 289 

Kephalgine 229 

Kickapoo Oil 264 

King's Discovery 248 

King's Germateur 294 

Kitchen's Liniment 265 

Kline's Nerve Restorer '. 229 

Kohler's Corn Cure 242 

Kryder's Ague Pills.' 255 

Lac Virginis 147 

Lallemand's Specific 281 

Langell's Asthma Remedy 237 



PAGE. 

Laubach's Eclectic Liniment 265 

Lavarre's Cure 294 

Laville's Gout Cure 271 

Lee's Anti-Billious Pills 233 

Lee's Gravel Remedy 271 

Lee's Lithontriptic 272 

Liebig's Corn Cure 242 

Lindsey's Pain Cure 238 

Liniments 258 

Liniment for Man or Beast 265 

Liquor Carbonis Detergens 294 

Little Hop Pills 234 

Local Anaesthetics 159 

Local Advertising Specialist 8 

Locock's Pulmonic Wafers 249 

Lowndes Magic Cream . . ^ 295 

Low's Magnetic Liniment 265 

Lydia Pinkham's Comp 295 

Lyon's Kathairon 288 

McLean's Strengthening Cordial. 282 
Madam Ruppert's Face Bleach.. 146 

Magnetic Healing 191 

Mail Order Specialist 11 

Malvina Cream 148 

Malvina Lotion 148 

Marshall's Pills 234 

Mayer's Ointment 275 

Mesmerism 182 

Meibom's Balsam 249 

Metz's Balsam 295 

Mexican Mustang Liniment 266 

Micajah's Uterine Wafers 128 

Miller's Golden Oil 266 

Miscellaneous Nostrums 230 

Mitchell's Eve Salve 276 

Morrison's Pills 234 

Morehead's Magnetic Plaster 242 

Mother Siegel's Syrup 296 

Mountain Rose 128 

Moxie 281 

Murray's System Tonic 281 

Nervura 282 

Nostrum Specialist 211 

Number Thirteen 272 

Obesity 17 

Observing Specialist 17 

Obtundent System of Dentistry. .150 

Oculine 254 

Odontumder 170 

Odontodol 172 

Odolgine 173 

Oil of Gladness 266 

Oil of Joy 266 

Ointments 273 

Office Specialist 22 

Operating Table 24 

Orange Blossom 128 

Osgood's Cholagogue 256 

Ozone Uterine Wafers 128 

Painless Dentistry 150 

Paine's Celery Comp 282 

Palmer's Cosmetic Lotion 2S8 

Parson' s Anaesthetic 171 

Parson's Purgative Pills ..234 

Pasteur's Treatment for Hydro- 
phobia 204 

Patterson's Emulsion 290 

Peekskill's Cough Syrup 250 

Perry's Sarsaoarilla 227 

Perry Davis' Pain Killer 2-67 

Pettit's Eye Salve 276 



;04 



INDEX. 




Phenol Sodique 296 

Phenolid 223 

Pierce's Favorite Prescription. .283 
Pierce's Golden Medical Discov- 
ery 284 

Piso's Consumption Cure 250 

Piatt's Chlorides 296 

Pleis' Fit Powders 296 

Pope's Cure for Neuralgia 229 

Powell's Balm ...230 

Price's Pile Ointment 276 

Proctor's Vermifuge 290 



Quick Stop for Headache. 



.230 



Radam's Microbe Killer 296 

Radway's Pills 234 

Radway's Relief 267 

Radway's Resolvent 227 

Ransom's Hive Syrup 250 

Reave' s Embrocation 267 

RECTAL Specialist 81 

Allingham's Ligature Opera- 
tion 81 

Brinkerhoff's Fluid 97 

Diagnosis of Rectal Diseases.. 83 

Fistula 91 

Fissure 93 

Green's treatment 98 

Hemorrhoias 85 

Hoyt's Formula 98 

Injection Treatment 86 

Overall's Formula 97 

Polypus 96 

Powell's Formula 97 

Prolapsus 95 

Pruritus 96 

Rectal Ulcers 94 

Rorick's Formula 98 

Shuford's Formula 98 

Smith' s Formula 98 

Recamier Balm 288 

Recamier Cream 288 

Red Star Cough Cure 251 

Red Lip Salve 145 

Ree's Cholera Mixture 239 

Reid's Dentifrice 174 

Restoratives 278 

Revalenta Food 297 

Rex Magnus 297 

Rheumatism Cure 14, 270 

Ripan's Tablets 2S5 

Richmond' s Nervine 230 

Roche's Embrocation 297 

Roger's Anti-Neuralgia Pills — 230 

Roger's Corn Cure 242 

Rose Dentoline 176 

Rose Dentifrice 180 

Rubicreme 179 

Russell's Botanic King 227 

Russia Salve 277 

Rushmere Dentifrice 175 

Sage's Catarrh Remedy 241 

Sanford's Catarrh Cure 241 

Saul's Catarrh Cure 240 

Schenck's Pulmonic Syrup 251 

Scotch Oats Essence 284 

Sea-Shore Diphtheria Cure 297 

Secret Prescription Writing 210 

Seeley's Pile Ointment 277 

Senckenburg's Migraine Pas- 
tilles 231 

Sexual Indifference 129 

Seven Barks 297 



Sequah's Oil 267 

Seven Seals 239 

Sequah's Prairie Flower 298 

Seven Southerland Sisters' Hair 

Grower 141 

Shiloh's Consumption Cure 252 

Slocum's Consumption Cure 14 

Silver Hair Dyes 13b 

Simmon's Liver Regulator 235 

Sirop Gibert 298 

Skin Treatment 144 

Skinner's Dandruff Cure 288 

Smedley's Fever Powders 256 

Smith Bros.' Cough Drops 252 

Stammering Speciliast 206 

Steedman's Soothing Powders.. 231 

St. Jacob's Oil 267 

St. John's Liniment 268 

St. John Long's Liniment 268 

Stokes' Expectorant 252 

Stomach Remedies 15, 285 

Stron's Arnica Jelly 277 

Succus Alterans 118 

Sykes' Catarrh Cure 241 

Syrup of Figs 235 

Syrup Stillingia Com 228 

S. S. S 118 

Specialist 5 

Special Disease Specialist 10 

Spermatorrhoea Ring 114 

Swaim's Vermifuge 290 

Swayne's Ointment 277 

Tamar Ipdien 299 

Tanno-Quinine Hair Restorer. .139 

Tape-Worm Specialist 202 

Tarrant's Seltzer Aperient 235 

That Liniment 268 

Thielman's Cholera Mixture 240 

Thomas' Electric Oil 268 

Thompson's Eye Water 254 

Thorn's Cough Mixture 252 

Tip Top 26d 

Toilet Preparations 13o, ^86 

Tolu, Rock and Rye ...299 

Townsend's Pills 236 

Trafton's Balm 299 

Trask's Ointment 277 

Triumph Corn Plaster 242 

Tropic Fruit Laxative 236 

Vacuum Treatment 142 

Van Buskirk's Sozodont 175 

Vegetable Treatment for Syphi- 
lis 116 

Vermifuges 289 

Viavi 127 

Walker's Bitters 284 

Warner's Safe Cure 273 

Washburne's Salicylica 272 

Watt's Rheumatic Pills 272 

Wayne's Diuretic Elixir 273 

Wei De Meyer's Catarrh Cure 241 

Wheelock's Cough Mixture 253 

White's Elixir 253 

Williams' Pink Pills 284 

Wilson's Liniment 269 

Winslow's Soothing Syrup 231 

Wistar's Balsam 253 

Witch-Hazel Ointment 278 

Wolcott's Pain Paint 270 

Woolford's Sanitary Lotion 300 

Yellow Family Drops 300 






